Active NPI
Krystyna Zietkiewicz, DDS
- General Practice Dentistry
- Stratford, CT
National Provider Identifier
1497840706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 009074
- Practice address
- 88 Ryders Lane
Stratford, CT 06614 - Phone
- (203) 378-1566
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 009074 | CT | Primary |
Addresses
Primary practice location
88 Ryders Lane
Stratford, CT 06614
Mailing address
125 North St
Easton, CT 06612
Phone (203) 220-9216
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009074 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497840706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NORTH ST",
"city": "EASTON",
"state": "CT",
"postal_code": "06612",
"telephone_number": "203-220-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 RYDERS LANE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-378-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIETKIEWICZ",
"first_name": "KRYSTYNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "009074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.