NPIMap

Organization Active NPI

Kristo, LTC

Doing business as Kristo Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wausau, WI
National Provider Identifier
1265891501
Registry record updated Feb 15, 2016
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, LTC
Doing business as
Kristo Orthodontics
Practice address
519 N 17TH Ave
Wausau, WI 54401-2910
Phone
(715) 842-5459
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Steven J Kristo, DDS, MSNPI 1629202510
Title
Owner
Phone
(715) 835-5182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3752 WI Primary

Addresses

Primary practice location

519 N 17TH Ave
Wausau, WI 54401-2910

Mailing address

519 N 17TH Ave
Wausau, WI 54401-2910
Phone (715) 842-5459

Other names 1

  • Kristo Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kristo LTD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • New Richmond, WI
    • NPI 1083093173
    NPD tax ID
  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Amery, WI
    • NPI 1093194185
    NPD tax ID
  • Kristo LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Baldwin, WI
    • NPI 1104205285
    NPD tax ID
  • Kristo LTD

    dba Shawano Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Shawano, WI
    • NPI 1184260358
    NPD tax ID
  • Kristo LTD
    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Eau Claire, WI
    • NPI 1255447652
    NPD tax ID
  • Kristo LTD

    dba Rapids Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Wisconsin Rapids, WI
    • NPI 1407488075
    NPD tax ID
  • Kristo, LTD

    dba Kristo Orthodontics

    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Marinette, WI
    • NPI 1073045860
    NPD tax ID

Locations

519 N 17th Ave
Wausau, WI 54401
Phone (715) 842-5459

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1265891501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-842-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-842-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTO, LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "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_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristo Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.