Kristen Self, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

35276 Issued in TX

Practice address

1058 FM 306 Ste 104
New Braunfels, TX 78130-7551

Phone

(830) 730-4143

Fax

(830) 730-4403

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• K Self Enterprises PLLC

  • Pediatric Dentistry
  • New Braunfels, TX
  • NPI 1063240109
  NPD Authorized official
• Kids World Pediatric Dentistry

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1295161818
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1497316418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 FM 306 STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307551",
            "telephone_number": "830-730-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 FM 306 STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307551",
            "telephone_number": "830-730-4143",
            "fax_number": "830-730-4403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20711 Wilderness Oak Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782582641",
            "country_code": "US",
            "telephone_number": "210-787-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "35276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seacole Labs
• Michael F. Sedlak, M.D.
• Travis Seewald, LMSW
• Suellen Seifert, PTA
• Select Physical Therapy Texas Limited Partnership
• Cheryl Stasny Sellers, D.D.S.
• Senior Path Specialists
• Richard William Senyszyn, M.D.
• Calvina Cyprian Sequeira
• Alison Setser, RD,LD

• Pediatric Dentistry in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.