Julija Kondratyuk, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

0401414978 Issued in VA

Practice address

11575 N Shore Dr Apt 1
Reston, VA 20190-4328

Phone

(206) 272-0159

NPI assigned

Aug 31, 2015

Last updated

Aug 31, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1558738013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11575 N SHORE DR APT 1",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904328",
            "telephone_number": "206-272-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11575 N SHORE DR APT 1",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904328",
            "telephone_number": "206-272-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRATYUK",
        "first_name": "JULIJA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Leonard Kochuba, MD
• Kyle Kohnen, DPT
• William Kohns
• Sarah Jacqueline Kolling, AU.D.
• Padmalatha R Kona, MD
• Peter Reid Kongstvedt, M.D.
• Marisa Konishi, FNP
• Agnes Emma Koroma
• Mary Jane Catherine Korrigan, RDH
• Madhubala A Kothari, MD

• Dentist in Reston, VA
• Providers in Reston, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.