Kristine E. Hynes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

24653 Issued in TX

Practice address

701 Camino del Rio Ste 316
Axis Oral Health Clinic
Durango, CO 81301-5596

Phone

(970) 335-2442

NPI assigned

Jun 26, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristine E. Riley Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1215165337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HOLLIMON PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536137",
            "telephone_number": "979-900-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CAMINO DEL RIO STE 316",
            "address_2": "AXIS ORAL HEALTH CLINIC",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015596",
            "telephone_number": "970-335-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNES",
        "first_name": "KRISTINE",
        "middle_name": "E.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "RILEY",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie L Hustafa, RDH
• Stacy Huston, D.P.T.
• Julie Hutson, MA, LPC, NCC
• Pamela Jesse Hutt, M.D.
• Ha Thi Kim Huynh, OD
• Christie Lea Ilg-Salter, N.P.
• Aaron Seth Imber, LCSW
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• Dentist in Durango, CO
• Providers in Durango, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.