Kathleen M. Frost, DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

KATHLEEN M. FROST, DDS PC

Practice address

150 Islip Ave Ste 11
Islip, NY 11751-3222

Phone

(631) 581-3100

Fax

(631) 581-8164

NPI assigned

Jan 13, 2021

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen M Frost, DDSNPI 1144240714

Title

President/Owner

Phone

(631) 581-3100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen M Frost, DDS

  • Periodontics
  • Islip, NY
  • NPI 1144240714
  NPD Authorized official
• Kristen Brocavich, DDS

  • Periodontics
  • Islip, NY
  • NPI 1851901896
  NPD
• Sara Desantis, D.D.S.

  • Periodontics
  • Islip, NY
  • NPI 1528081072
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1619566718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE STE 11",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-3100",
            "fax_number": "631-581-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE STE 11",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-3100",
            "fax_number": "631-581-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M. FROST, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-581-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashi B Jhamb, M.D.
• Suni Benny Joseph
• Kimberly Kerry Justus-Tauer, DDS
• Kenneth Charles Kalman, DC
• Sarah Kappus, MD
• Alissa Kavun, LPN
• Heather Lynnn Keach
• Hope Marie Keeney-Bowe
• Sydney Paige Kelly
• Kimberly Anne Kemerson, MA CCC-SLP, TSSLD

• Periodontics in Islip, NY
• Providers in Islip, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.