Individual provider Active NPI

Katrina Nicole Raneses, DMD

  • Dentist
  • Elizabethtown, KY
National Provider Identifier
1437032000
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11407 Issued in KY
Practice address
1107 Crown Pointe Dr Ste 210
Elizabethtown, KY 42701-7281
Phone
(270) 769-3858
NPI assigned
Jul 30, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11407 KY Primary

Addresses

Primary practice location

1107 Crown Pointe Dr Ste 210
Elizabethtown, KY 42701-7281

Mailing address

PO Box 749993
Atlanta, GA 30374-7793

Other practice location 1

141 Stonecrest Rd
Shelbyville, KY 40065-8164
Phone (502) 633-4441

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
11407KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Dental PLLC CurrentSince Aug 3, 2025 Accepting new patients
Etown Dentistry Dre LLC CurrentSince Aug 3, 2025 Accepting new patients
Pediatric Dentistry of Shelbyville Past Accepting new patients

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, 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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1437032000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749993",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303747793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 210",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017281",
            "telephone_number": "270-769-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Stonecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658164",
            "country_code": "US",
            "telephone_number": "502-633-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANESES",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.