Individual provider Active NPI

Kristina Rodriguez Salaverry, DDS

  • Periodontics
  • New York, NY
National Provider Identifier
1376802108
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50056211 Issued in NY
Practice address
509 Madison Ave RM 1704
New York, NY 10022-5532
Phone
(212) 245-5130
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI02499100 NJ
Periodontics 1223P0300X 50056211 NY Primary

Addresses

Primary practice location

509 Madison Ave RM 1704
New York, NY 10022-5532

Mailing address

50 Murray St Apt 912
New York, NY 10007-2265

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
22DI02499100NJMDPeriodontist
50056211NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaye Dentistry, PLLC CurrentSince Dec 12, 2021 Accepting new patients

Locations

509 Madison Ave
Rm 1704
New York, NY 10022
Phone (212) 245-5130

Organizations & group practices 1

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1376802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MURRAY ST APT 912",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MADISON AVE RM 1704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225532",
            "telephone_number": "212-245-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAVERRY",
        "first_name": "KRISTINA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02499100",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "50056211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.