Individual provider Active NPI

Kristianne Norma Sinclair, DDS

  • Dentist
  • Fort Gregg-Adams, VA
National Provider Identifier
1306125794
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413301 Issued in VA
Practice address
2601 Clarke Avenue
Building 8204
Fort Gregg-Adams, VA 23801
Phone
(804) 734-9607
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413301 VA Primary

Addresses

Primary practice location

2601 Clarke Avenue
Building 8204
Fort Gregg-Adams, VA 23801

Mailing address

US Army Dental Activity, Bavaria
Unit 28038
Apo, AE 09112
Phone 011499662834738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401413301VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1306125794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "US ARMY DENTAL ACTIVITY, BAVARIA",
            "address_2": "UNIT 28038",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "telephone_number": "011499662834738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CLARKE AVENUE",
            "address_2": "BUILDING 8204",
            "city": "FORT GREGG-ADAMS",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "KRISTIANNE",
        "middle_name": "NORMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gregg-Adams, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.