Organization Active NPI

Kristo LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eau Claire, WI
National Provider Identifier
1255447652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3752 Issued in WI
Legal business name
KRISTO LTD
Practice address
3902 Oakwood Hills Parkway
Eau Claire, WI 54701
Phone
(715) 835-5182
Fax
(715) 839-7199
NPI assigned
Aug 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Steven J Kristo, DDS MS
Title
Owner
Phone
(715) 835-5182

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Kristo LTD (8 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3752 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

3902 Oakwood Hills Parkway
Eau Claire, WI 54701

Mailing address

3902 Oakwood Hills Parkway
Eau Claire, WI 54701
Phone (715) 835-5182

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
33682600OtherWIMEDICAL ASSISTANCE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255447652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-5182",
            "fax_number": "715-839-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-5182",
            "fax_number": "715-839-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISTO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-835-5182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "33682600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.