Organization Active NPI

Kristina Dentistry

  • Dentist
  • Chesterfield, VA
National Provider Identifier
1255035499
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KRISTINA DENTISTRY
Practice address
14432 Hull Street Road
Chesterfield, VA 23832
Phone
(571) 265-1419
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. Kristina Bosworth, DDSNPI 1487262739
Title
Owner
Phone
(571) 265-1419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14432 Hull Street Road
Chesterfield, VA 23832

Mailing address

7925 Featherchase PL
Chesterfield, VA 23832-2514
Phone (571) 265-1419

Other names 1

  • Eight Creeks Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14432 Hull Street Rd
Chesterfield, VA 23832
Phone (571) 265-1419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1255035499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 FEATHERCHASE PL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322514",
            "telephone_number": "571-265-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14432 HULL STREET ROAD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "571-265-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-265-1419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eight Creeks Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eight Creeks Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.