Kristie M. Palumbo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030434L Issued in PA

Practice address

47 State Rd
Media, PA 19063-1544

Phone

(610) 566-0291

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Gregory a Hillyard DMD PC

  • Dental Clinic/Center
  • Media, PA
  • NPI 1376945550
  NPD (past)
• Gregory a. Hillyard, D.M.D. and Associates

  • General Practice Dentistry
  • Media, PA
  • NPI 1861609356
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730399007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROBERTS RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142813",
            "telephone_number": "610-322-4075",
            "fax_number": "610-566-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 STATE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631544",
            "telephone_number": "610-566-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "KRISTIE",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030434L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pace Foot and Ankle Centers PLLC
• Jamie Lee Paik, MD
• Lynn Paik, D.O.
• Miriam K Paikoff, MSW
• Peter M. Palmieri, O.D.
• Patricia Lynn Pappert-Corsino, LBS
• Joseph John Paradine, DDS
• Samir N Parikh, M.D.
• Kyung Cheol Park, PHARMD
• Sophia Park

• General Practice Dentistry in Media, PA
• Providers in Media, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.