Individual provider Active NPI

Kristin Kay McNamara, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Columbus, OH
National Provider Identifier
1366659658
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
30.023131 Issued in OH
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

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000521 OH Practitioner - Oral SurgeryPractitioner - Pathology 7315088325 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2536OHMDChiropractor
2901018436MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin McNamara, DDS, LLC Oral and Maxillofacial Pathology CurrentSince Apr 14, 2025 Accepting new patients
Ohio State Dental Faculty Practice Inc CurrentSince Nov 23, 2009 Accepting new patients
Oral Pathology Consultants Laboratory, LLC Oral and Maxillofacial Pathology CurrentSince Sep 10, 2018 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.

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

Verify at the official NPI Registry.