Individual provider Active NPI

Kristin Judy Marie Kestranek, DMD

  • General Practice Dentistry
  • Bedford, OH
National Provider Identifier
1346733722
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025479 Issued in OH
Practice address
22301 Rockside Rd
Bedford, OH 44146-1509
Phone
(216) 559-4127
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025479 OH Primary

Addresses

Primary practice location

22301 Rockside Rd
Bedford, OH 44146-1509

Mailing address

3173 Woodstone LN
Avon, OH 44011-2519
Phone (216) 559-4127

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180709001444 OH Order and Referring Only - DentistPractitioner - Dentist 2264788090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1346733722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 WOODSTONE LN",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112519",
            "telephone_number": "216-559-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461509",
            "telephone_number": "216-559-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTRANEK",
        "first_name": "KRISTIN",
        "middle_name": "JUDY MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.