Kac Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401415867 Issued in VA

Legal business name

KAC DENTAL, PC

Practice address

7834 Forest Hill Ave Ste 1
Richmond, VA 23225-1974

Phone

(804) 272-2205

Fax

(804) 272-2111

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kevin CriscitielloNPI 1609007442

Title

Owner

Phone

(804) 272-2205

Specialties & licenses 1

Addresses

Other names 1

• KAC Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Criscitiello, DDS

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1609007442
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1528569563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 FOREST HILL AVE STE 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251974",
            "telephone_number": "804-272-2205",
            "fax_number": "804-272-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7834 FOREST HILL AVE STE 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251974",
            "telephone_number": "804-272-2205",
            "fax_number": "804-272-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAC DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "CRISCITIELLO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-272-2205",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401415867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAC Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Dawn Jutras
• K&K Caregivers LLC
• Jane Snyder Kaatz, RN, ANP
• Suraj Jay Kabadi, MD
• Debra Mary Rose Kabel
• Manju Kadariya, NP-C
• Asha Kadaru
• Kaderli Consulting
• Rebecca Kaderli, LPC
• Fatima Kadiri, MD

• Dental Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.