Active NPI
Kristine Bolster Korngable, R.D.H.
- Dental Hygienist
- Rochester, MN
National Provider Identifier
1639621139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H04702
- Practice address
- 903 W Center St
United Way Building Suite 130
Rochester, MN 55902-6278 - Phone
- (507) 529-0435
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H04702 | MN | Primary |
Addresses
Primary practice location
903 W Center St
United Way Building Suite 130
Rochester, MN 55902-6278
Mailing address
903 W Center St
United Way Building Suite 130
Rochester, MN 55902-6278
Phone (507) 529-0435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H04702 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1639621139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W CENTER ST",
"address_2": "UNITED WAY BUILDING SUITE 130",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559026278",
"telephone_number": "507-529-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W CENTER ST",
"address_2": "UNITED WAY BUILDING SUITE 130",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559026278",
"telephone_number": "507-529-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNGABLE",
"first_name": "KRISTINE",
"middle_name": "BOLSTER",
"name_prefix": "Ms.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H04702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.