Kristina J. Danielak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21647 Issued in OH

Practice address

1344 Lancaster Ave
Reynoldsburg, OH 43068-2136

Phone

(614) 866-1234

Fax

(614) 866-0504

NPI assigned

May 18, 2007

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

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455926400000",
    "number": "1316155799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HARDING HWY E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024522",
            "telephone_number": "740-387-1466",
            "fax_number": "740-751-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 LANCASTER AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682136",
            "telephone_number": "614-866-1234",
            "fax_number": "614-866-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELAK",
        "first_name": "KRISTINA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Dang
• Pabitra Dangal
• Daniel Saale, D.D.S., Inc.
• Daniel T Haley D P M Inc
• David Dalton Daniel, D.M.D.
• Elizabeth Daniels
• Emily Dannemiller
• Kacie Datko, M.ED., BCBA, COBA
• John Lewis Daugherty IV, DDS
• David E. Miller, PH.D., Inc.

• General Practice Dentistry in Reynoldsburg, OH
• Providers in Reynoldsburg, 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 Feb 20, 2016; 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.