Katrina Luisa Kontaxis, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1857165 Issued in MA

Practice address

88 Montvale Ave
Suite 5
Stoneham, MA 02180-3643

Phone

(781) 438-7206

NPI assigned

Aug 27, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Merrimack Valley Oral Surgeons, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Stoneham, MA
  • NPI 1356460810
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1811245749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "address_2": "SUITE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MONTVALE AVE",
            "address_2": "SUITE 5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803643",
            "telephone_number": "781-438-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTAXIS",
        "first_name": "KATRINA",
        "middle_name": "LUISA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willette King, O.D.
• Neil S Kirstein, LIC. AC.
• Mary Ellen Kistler, PA-C
• James E Knowles
• Zachary Benjamin Koloff, MD
• Kristen Radlinski, Licsw LLC
• Gabriella Kruse
• Anil Kumar, M.D.
• Jan A. Kylstra, MD
• Lisa Labella

• Oral and Maxillofacial Surgery (Dentist) in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.