Individual provider Active NPI

Katarzyna Ujda, D.D.S.

  • General Practice Dentistry
  • Santa Fe, NM
National Provider Identifier
1437440286
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD3665 Issued in NM
Practice address
2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone
(505) 982-9222
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD3665 NM Primary

Addresses

Primary practice location

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112

Mailing address

2019 Galisteo St Ste L2
Santa Fe, NM 87505-2112
Phone (505) 982-9222

Other names 1

  • Katherine Piekarska Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912000553 NM Order and Referring Only - DentistPractitioner - Dentist 9931495314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD3665NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kpu Dental LLC CurrentSince Mar 1, 2018 Accepting new patients
Richard S Parker DDS PC Past Accepting new patients

Locations

2019 Galisteo St
Ste L2
Santa Fe, NM 87505
Phone (505) 982-9222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1437440286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE L2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052112",
            "telephone_number": "505-982-9222",
            "fax_number": "505-982-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE L2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052112",
            "telephone_number": "505-982-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UJDA",
        "first_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PIEKARSKA",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.