Sydney Katras, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10991 Issued in TN

Practice address

217 Sequoyah Dr
Johnson City, TN 37604-1412

Phone

(423) 483-5193

NPI assigned

Jun 19, 2019

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1215597448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SEQUOYAH DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041412",
            "telephone_number": "423-483-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SEQUOYAH DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041412",
            "telephone_number": "423-483-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRAS",
        "first_name": "SYDNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10991",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "10991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George David Karnes, DDS
• Sarah Kassaby, M.D.
• Christopher Scott Kasting, RPH.
• Chand Kathuria, MD
• Jacqueline Katko, BS
• Brett Austin Kattesh, CRNA
• John Reinhart Kaudewitz, OD
• William Meade Kauffman, M.D.
• Katherine Kazen, MD
• Shae Keane

• Orthodontics and Dentofacial Orthopedics Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.