Kray PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856292 Issued in MA

Legal business name

KRAY PC

Doing business as

Northgate Dental Center

Practice address

1985 Main St
Springfield, MA 01103-1095

Phone

(617) 513-4321

NPI assigned

Feb 16, 2018

Last updated

Feb 16, 2018By 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. Kavitha Sathya, DMDNPI 1114366705

Title

Dentist

Phone

(617) 513-4321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northgate Dental Center Doing business as

Locations

Practitioners 1

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.

• Kavitha Sathya, DMD

  • General Practice Dentistry
  • Boston, MA
  • NPI 1114366705
  NPD Authorized official

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1659871531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031095",
            "telephone_number": "617-513-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031095",
            "telephone_number": "617-513-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "SATHYA",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-513-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114366705",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephan M Kraus
• Jens Christian Krause
• Rhett Krause, MD
• Susan Agard Krause, CNM
• Amanda J Kravetz, M.D.
• Patricia A Krebs, MD
• James Kreidberg
• David Joseph Kreps, DPT
• Ari Joshua Kriegsman, MD
• Farrika Kro

• Dentist in Springfield, MA
• Providers in Springfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.