Kristine Elizabeth Barrett, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417795 Issued in VA

Practice address

220 W Brambleton Ave Ste 110
Norfolk, VA 23510-1571

Phone

(757) 583-1536

Fax

(757) 583-3470

NPI assigned

Mar 7, 2021

Last updated

Jul 12, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CD Virginia Dental P.C.

  dba Konikoff Family Dentistry

  • General Practice Dentistry
  • Norfolk, VA
  • NPI 1548789969
  NPD (past)

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1558956912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W BRAMBLETON AVE STE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101571",
            "telephone_number": "757-583-1536",
            "fax_number": "757-583-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRAMBLETON AVE STE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101571",
            "telephone_number": "757-583-1536",
            "fax_number": "757-583-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417795",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reshma Barot, PT
• Christopher James Barreiro, M.D.
• Rachel Diane Barrera, RDH
• Danielle Barrett
• Elizabeth Zarkin Barrett, MD
• Ramel Barrett
• Ross Stanton Barrett
• Kelly Gail Barriault, PA
• Jessica Barrientos
• Brittney Nicole Barron, LCSW

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.