Karn Kritsanachaiwanich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17673 Issued in TX

Practice address

1221 W Ben White Blvd
Suite 112-B
Austin, TX 78704-6888

Phone

(512) 326-2066

Fax

(512) 326-2955

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karn Kritsanachaiwanich PA

  dba Western Trails Dental

  • Dentist
  • Austin, TX
  • NPI 1326391095
  Authorized official Same address or phone

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720154792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "SUITE 112-B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "512-326-2066",
            "fax_number": "512-326-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "SUITE 112-B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "512-326-2066",
            "fax_number": "512-326-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITSANACHAIWANICH",
        "first_name": "KARN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Nicole Kristiansen, LMT, CMLDT
• Kristin Atkinson, PLLC
• Kristin Lasseter, MD, PLLC (Reproductive Psychiatry and Counseling)
• Adam Kristoff, D.D.S.
• Ann H Kristovich, D.D.S.
• Teresa Ruth Kroeker, M.D.
• Alexandra Kroes, MD
• Jena Krohn, OTR
• Anna Maria Krol
• Kari Ann Krol, MA, CCC/SLP

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.