Tara Marie Kraisinger, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS040467 Issued in PA

Practice address

344 Budfield St
Johnstown, PA 15904-3214

Phone

(814) 262-0123

NPI assigned

Oct 23, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cenkner Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greensburg, PA
  • NPI 1588474001
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1376019877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 KECKSBURG RD",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663657",
            "telephone_number": "724-454-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043214",
            "telephone_number": "814-262-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAISINGER",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS040467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol E. Kowtoniuk, D.O.
• Walter V Kowtoniuk, D.O.
• Kim Kozak
• Veronica Kozar, PHD. MSW, LCSW
• Thomas J Kozesky, PAC
• Gary S Kramer, MD
• Tina Kravets, MED
• Arthur Solomon Krell, M.D.
• John Arthur Kriak, PHARMD
• Nathaniel Kriger, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.