Katina Dial Pittman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7649 Issued in NC

Practice address

2945 New Bern Ave
Raleigh, NC 27610-1213

Phone

(919) 834-4932

NPI assigned

Jul 31, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225044092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 STONEYCREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275149648",
            "telephone_number": "919-932-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101213",
            "telephone_number": "919-834-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KATINA",
        "middle_name": "DIAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902KE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Pittman
• Catherine S Pittman, LPC
• James Carroll Pittman III
• Jana Peoples Pittman, CRNA
• John C Pittman, MD
• Lethea Kate Pittman, LCSW, LCAS
• Michaela Pittman, OTR/L
• Summer Pittman, MSW
• William Gibbs Pittman III, M.D.
• Erika Pitts

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.