Kaitlyn Christina Kolosionek, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025195 Issued in OH

Practice address

4258 Belden Village Mall SPC FC-17
Canton, OH 44718-2504

Phone

(330) 492-4250

NPI assigned

May 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dental Professionals Cleveland-Nouneh, Inc

  • Dentist
  • Canton, OH
  • NPI 1538344569
  NPD (past)

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295183390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 BELDEN VILLAGE MALL SPC FC-17",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182504",
            "telephone_number": "330-492-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4258 BELDEN VILLAGE MALL SPC FC-17",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182504",
            "telephone_number": "330-492-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOSIONEK",
        "first_name": "KAITLYN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Koenig, RD, LD, CDE
• Richard Alan Kohut, LISW
• Dennis Bruce Kolarik, D.O.
• Louise Kolarik, M.D.
• Sarah Kolic
• Peter Kometiani, MD PHD
• Nageswara Rao Kommareddi, M.D.,
• Akiko Komura
• Soumya Kondaveety
• Katelyn Konetsky

• General Practice Dentistry in Canton, OH
• Providers in Canton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.