NPIMap

Organization Active NPI

Kristina Zoulas, DDS, Inc.

Doing business as Berkeley Dental Studio

  • Dental Clinic/Center
  • Berkeley, CA
National Provider Identifier
1689318255
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISTINA ZOULAS, DDS, INC.
Doing business as
Berkeley Dental Studio
Westborough Dental Care
Practice address
2414 Ashby Ave
Berkeley, CA 94705-2063
Phone
(510) 845-8780
NPI assigned
Apr 20, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Dr. Kristina Zoulas, DDSNPI 1558598672
Title
President
Phone
(510) 332-1982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2414 Ashby Ave
Berkeley, CA 94705-2063

Mailing address

3550 Callan Blvd
South San Francisco, CA 94080-5117
Phone (650) 873-6681

Other practice location 1

3550 Callan Blvd
South San Francisco, CA 94080-5117
Phone (650) 873-6681

Other names 2

  • Berkeley Dental Studio Doing business as
  • Westborough Dental Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@drzoulas.com

National Provider Directory

National Provider Directory

Locations

2414 Ashby Ave
Berkeley, CA 94705
Phone (510) 299-1025

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1689318255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 CALLAN BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805117",
            "telephone_number": "650-873-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052063",
            "telephone_number": "510-845-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Callan Blvd",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940805117",
            "country_code": "US",
            "telephone_number": "650-873-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTINA ZOULAS, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "ZOULAS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-332-1982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drzoulas.com",
            "affiliation": "N",
            "address_1": "3550 Callan Blvd",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940805117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Berkeley Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westborough Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.