Kristin Balius Correa, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5906C1 Issued in AL

Practice address

9807 McSara Court
Spanish Fort, AL 36527

Phone

(251) 626-9924

Fax

(601) 815-5837

NPI assigned

Jul 22, 2010

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

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.

• Malbis Parkway Pediatric Dentistry

  • Pediatric Dentistry
  • Daphne, AL
  • NPI 1548429160
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1760795488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 MCSARA CT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275461",
            "telephone_number": "251-626-9924",
            "fax_number": "251-626-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 MCSARA COURT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "36527",
            "telephone_number": "251-626-9924",
            "fax_number": "601-815-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "KRISTIN",
        "middle_name": "BALIUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5906C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Health & Wellness
• Coastal Neurologic Institute
• Kimberly Coley, P.T.A.
• Courtney Nicole Cooper, MS CCC-SLP
• Christopher Cordon
• Angel Cameron Courtney, CRNA
• Amber Creech
• Kathryn Nicole Crochet, OT
• Ella Cvirko, DMD
• Anna Carol Davis, BSN, RN

• All providers in Spanish Fort, AL
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.