Individual provider Active NPI

Konstantina Kritikos-Karalis, D.M.D.

  • General Practice Dentistry
  • Birdsboro, PA
National Provider Identifier
1235322652
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029973L Issued in PA
Practice address
117 N Furnace St
Birdsboro, PA 19508-2022
Phone
(610) 582-1594
Fax
(610) 404-7818
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS029973L PA Primary

Addresses

Primary practice location

117 N Furnace St
Birdsboro, PA 19508-2022

Mailing address

117 N Furnace St
Birdsboro, PA 19508-2022
Phone (610) 582-1594

Other names 1

  • Dr. Dina K-Karalis Other name

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

LicenseStateTypeSpecialty
DS029973LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
W. R. Ueberroth, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1235322652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N FURNACE ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082022",
            "telephone_number": "610-582-1594",
            "fax_number": "610-404-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N FURNACE ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082022",
            "telephone_number": "610-582-1594",
            "fax_number": "610-404-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITIKOS-KARALIS",
        "first_name": "KONSTANTINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029973L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "K-KARALIS",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.