Kevin Criscitiello, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415867 Issued in VA

Practice address

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

Phone

(804) 272-2205

Fax

(804) 272-2111

NPI assigned

Jul 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

State licenses

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.

• Kac Dental, PC

  • Dental Clinic/Center
  • Richmond, VA
  • NPI 1528569563
  NPD Authorized official
• Ulery Dental and Orthodontics

  • Dentist
  • Glen Burnie, MD
  • NPI 1235721903
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Pasadena, MD
  • NPI 1447842117
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Laurel, MD
  • NPI 1821680596
  NPD (past)
• Ulery Dental and Orthodontics

  • Dentist
  • Dundalk, MD
  • NPI 1952993628
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1609007442",
    "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": {
        "last_name": "CRISCITIELLO",
        "first_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14481",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@kacdental.com",
            "affiliation": "N",
            "endpointDescription": "Business Private Email",
            "address_1": "7834 Forest Hill Ave Ste 1",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232251974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crippled Children'S Hospital
• Crippled Children'S Hospital
• Crippled Children'S Hospital
• Crippled Children'S Hospital
• Crippled Children'S Hospital
• Tara Ann Crisinati, NP
• Crisiscare Connect
• Crisscare Services, LLC
• Alberto Cristobal, MD
• Critical Care Systems Inc.

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, 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 May 19, 2021; 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.