Kathryn Polyakov DMD PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

19569 Issued in MA

Legal business name

KATHRYN POLYAKOV DMD PC

Practice address

615 Concord St Ste 1
Framingham, MA 01702-8066

Phone

(508) 872-0045

Fax

(508) 281-1406

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Kathryn Alexandra PolyakovNPI 1184883696

Title

Dentist/Owner

Phone

(508) 872-0045

Specialties & licenses 3

Addresses

Other names 1

• Star Smile Doing business as

Locations

Practitioners 1

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

• Kathryn Alexandra Polyakov, DMD

  • General Practice Dentistry
  • Framingham, MA
  • NPI 1184883696
  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1265580237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CONCORD ST STE 1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028066",
            "telephone_number": "508-872-0045",
            "fax_number": "508-281-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CONCORD ST STE 1",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028066",
            "telephone_number": "508-872-0045",
            "fax_number": "508-281-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN POLYAKOV DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "POLYAKOV",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "508-872-0045"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "19569",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20584",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "13973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Kathleen Karian, MS, CF-SLP
• Linda Ann Karpeichik, M.ED
• Pallavi Karra
• Anne Lauren Kasperek, NP
• Stanley Jerome Kass, D.D.S.
• Katina Katides, PA-C
• Gurwinder Kaur
• Brenda Kay
• Ellen Lois Kay, EDD
• Kaya Resilience Healthcare and Consulting, PLLC

• Endodontics in Framingham, MA
• Providers in Framingham, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.