Active NPI
Kristin Kay McNamara, D.D.S.
- Oral and Maxillofacial Pathology Dentistry
- Columbus, OH
National Provider Identifier
1366659658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 30.023131
- Practice address
- 300 Marconi Blvd Ste 308
Columbus, OH 43215-2329 - Phone
- (503) 906-7300
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901018436 | MI | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 2536 | OH | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 30.023131 | OH | Primary |
Addresses
Primary practice location
300 Marconi Blvd Ste 308
Columbus, OH 43215-2329
Mailing address
1195 Willard Ave
Columbus, OH 43212-3570
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100112000521 | OH | Practitioner - Oral Surgery | 7315088325 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2536 | OH | MD | Chiropractor |
| 2901018436 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin McNamara, DDS, LLC | Oral and Maxillofacial Pathology | Current | Accepting new patients |
| Ohio State Dental Faculty Practice Inc | Current | Accepting new patients | |
| Oral Pathology Consultants Laboratory, LLC | Oral and Maxillofacial Pathology | Current | Accepting new patients |
Locations
305 W 12th Ave
Columbus, OH 43210
Phone (614) 292-1472
300 Marconi Blvd
Ste 308
Columbus, OH 43215
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Columbus, OH
- NPI 1164217295
OH, Oral and Maxillofacial Pathology
-
- Oral and Maxillofacial Pathology Dentistry
- Columbus, OH
- NPI 1790272748
OH, Oral and Maxillofacial Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1366659658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 WILLARD AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MARCONI BLVD STE 308",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152329",
"telephone_number": "503-906-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "KRISTIN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018436",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "OH",
"license": "2536",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "OH",
"license": "30.023131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.