Individual provider Active NPI

Christina Andrea Kilduff, DDS

  • Dentist
  • Fairfield, CT
National Provider Identifier
1376758433
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053773 Issued in NY
Practice address
86 Tunxis Hill Rd
Fairfield, CT 06825-4832
Phone
(475) 282-4551
NPI assigned
May 11, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 010685 CT
Dentist 122300000X 053773 NY Primary

Addresses

Primary practice location

86 Tunxis Hill Rd
Fairfield, CT 06825-4832

Mailing address

86 Tunxis Hill Rd
Fairfield, CT 06825-4832

Other practice location 1

127-131 East Main Street
Middletown, NY 10940
Phone (845) 342-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010685CTMDDentist
053773NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Dental Professionals, P.C. Past Accepting new patients
Sleepwell Doctor PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376758433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TUNXIS HILL RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TUNXIS HILL RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254832",
            "telephone_number": "475-282-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127-131 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "10940",
            "country_code": "US",
            "telephone_number": "845-342-5866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "CHRISTINA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010685",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.