Individual provider Active NPI

Kristina Franek, DDS

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1700409307
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042743 Issued in PA
Practice address
1611 Peach St Ste 465
Erie, PA 16501-2129
Phone
(814) 814-4568
Fax
(814) 456-2375
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042743 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1611 Peach St Ste 465
Erie, PA 16501-2129

Mailing address

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

Other practice location 1

2120 E 10th St
Erie, PA 16511-3111
Phone (814) 464-0307

Other practice location 2

1202 State St
Erie, PA 16501-1914
Phone (814) 452-4262

Other names 1

  • Kristina Fabi Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042743PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1700409307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530",
            "fax_number": "814-456-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST STE 465",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012129",
            "telephone_number": "814-814-4568",
            "fax_number": "814-456-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165113111",
            "country_code": "US",
            "telephone_number": "814-464-0307",
            "fax_number": "814-456-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165011914",
            "country_code": "US",
            "telephone_number": "814-452-4262",
            "fax_number": "814-456-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANEK",
        "first_name": "KRISTINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042743",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "FABI",
            "credential": "MAIDEN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.