Kristin Nylen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

50053366 Issued in NY

Practice address

15 Bronson St
Oswego, NY 13126-1004

Phone

(315) 342-1010

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1225169998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRONSON ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261004",
            "telephone_number": "315-342-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRONSON ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261004",
            "telephone_number": "315-342-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLEN",
        "first_name": "KRISTIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50053366",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Oswego County Health Services, Inc. Dba Connextcare
• Troy Norton, OT
• Betsy Lynne Noyes, LPN
• Melissa Nugent
• Michael S Nupuf, MD
• Patricia B O'Brien
• Julie Mary O'Connell
• Michelle Marie O'Connor, MA, CAS & NCSP
• Rhonda O'Connor, LMSW
• Crystal Ruth O'Hara, MSA

• Dentist in Oswego, NY
• Providers in Oswego, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.