Kristine P Cody, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

24046 Issued in TX

Practice address

1201 S Jackson
Unit #12
Pharr, TX 78577

Phone

(956) 683-9111

NPI assigned

Jun 26, 2008

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

Enrolled in MO

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

Practice roles

Locations

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.

• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1215273388
  Medicare reassignment NPD
• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1396101317
  NPD
• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1437897774
  NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1740442243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S JACKSON",
            "address_2": "UNIT #12",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-683-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S JACKSON",
            "address_2": "UNIT #12",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-683-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "KRISTINE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Annette Cifuentes, RN
• Heriberto Cisneros Jr.
• City of Pharr
• Coachella Contractors LLC
• Mara Lisa Cobos, R.PH
• Comprehensive Therapy Center, LLC
• Con Encanto Healthcare, LLC
• Concierx LLC
• Coral Dental PLLC
• Jerry Eugene Cormier, APT; CRTS

• Dentist in Pharr, TX
• Providers in Pharr, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.