Ann H Kristovich, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

11503 Issued in TX

Practice address

901 W 38TH St Ste 410
Austin, TX 78705

Phone

(512) 992-1378

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1679799431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051162",
            "telephone_number": "512-992-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-992-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOVICH",
        "first_name": "ANN",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "11503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008355204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "43319YKZJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi McKenzie, M.D., P.a.
• Bethany Nicole Kristiansen, LMT, CMLDT
• Kristin Atkinson, PLLC
• Kristin Lasseter, MD, PLLC
• Adam Kristoff, D.D.S.
• Karn Kritsanachaiwanich, D.D.S.
• Teresa Ruth Kroeker, M.D.
• Alexandra Kroes, MD
• Jena Krohn, OTR
• Anna Maria Krol

• Oral & Maxillofacial Surgery (D.M.D.) in Austin, TX
• Providers in Austin, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.