Kristina Tee, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D10775 Issued in OR

Practice address

742 NE Division St Ste 201
Gresham, OR 97030

Phone

(503) 912-6250

NPI assigned

Feb 25, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1780924951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 NE DIVISION ST STE 201",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303979",
            "telephone_number": "503-912-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 NE DIVISION ST STE 201",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-912-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEE",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3413932 - 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaila N Taylor, QMHA
• Ronald Taylor, OTD, OTR/L
• Samantha K Taylor, CADC I/QMHA
• Carli Tedford
• Sarah Jean Tedrick, LPC
• Beniam Teklu, RN
• Telecare Mental Health Services of Oregon, Inc
• Telecare Mental Health Services of Oregon, Inc.
• Jennifer Tellez, LMT
• Miguel Tellez

• Pediatric Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.