Kristen Elizabeth Krotec, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22003 Issued in FL

Practice address

128 Rolling Hills Cir
Easley, SC 29640-7400

Phone

(864) 810-4248

NPI assigned

Jul 5, 2016

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

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1730531567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PINE GATE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075509",
            "telephone_number": "941-350-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROLLING HILLS CIR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296407400",
            "telephone_number": "864-810-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTEC",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S Koch, M.D.
• Elliot Nash Konrade, MD
• Alessandra Annaliza Korber, LISW-CP
• Austin Krantz
• Michael L Kriegel, PH.D.
• Anisha Kumar, M.D.
• Laboratory Corporation of America Holdings
• Christopher Lacava, M.S., L.AC.
• Elizabeth Lacy, FNP
• Patricia A Landry, M.D.

• General Practice Dentistry in Easley, SC
• Providers in Easley, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.