Rajini Konda

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC9059 Issued in SC

Practice address

8433 Charlotte Hwy
Fort Mill, SC 29707-2970

Phone

(630) 748-9444

NPI assigned

Jul 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1760794945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 PROVIDENCE FOREST DR",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "630-748-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 CHARLOTTE HWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297072970",
            "telephone_number": "630-748-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 N Front St",
            "address_2": "Unit 50",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19120",
            "country_code": "US",
            "telephone_number": "630-748-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDA",
        "first_name": "RAJINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038358",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC9059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Richard Klaus, DC
• Natalia Klett, MD
• Carolyn Klinefelter
• Michelle Knox, RBT
• Andrew David Kohle, DMD
• Wanda Marie Koszewski, PHD, RD, LD
• Alicesyn Kowalski, RBT
• Stephanie C Krafft, OT
• Donna Kay Kroener
• Christine Fyalka Krysa, LPC

• General Practice Dentistry in Fort Mill, SC
• Providers in Fort Mill, 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 Jun 17, 2019; 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.