Active NPI
Tamara White Karelis, DMD
- General Practice Dentistry
- Hazard, KY
National Provider Identifier
1235278847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7281
- Practice address
- 279 E Main St
Hazard, KY 41701-1920 - Phone
- (606) 487-9505
- Fax
- (606) 436-0071
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7281 | KY | |
| Public Health Dentistry | 1223D0001X | 7281 | KY | |
| General Practice Dentistry | 1223G0001X | 7281 | KY | Primary |
Addresses
Primary practice location
279 E Main St
Hazard, KY 41701-1920
Mailing address
279 E Main St
Hazard, KY 41701-1973
Phone (606) 487-9505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001609 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7281 | KY | MD | General Practice Dentistry |
Interoperability endpoints
- tamara.karelis.p1@direct.kymha.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1235278847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 E MAIN ST",
"city": "HAZARD",
"state": "KY",
"postal_code": "417011973",
"telephone_number": "606-487-9505",
"fax_number": "606-487-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E MAIN ST",
"city": "HAZARD",
"state": "KY",
"postal_code": "417011920",
"telephone_number": "606-487-9505",
"fax_number": "606-436-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARELIS",
"first_name": "TAMARA",
"middle_name": "WHITE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2023-11-03",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7281",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "KY",
"license": "7281",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60001609",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.