NPIMap

Individual provider Active NPI

Kristen Zitterell, DMD

  • Dental Anesthesiology
  • Taunton, MA
National Provider Identifier
1821155037
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
1855924 Issued in MA
Practice address
104 Dean St
#103
Taunton, MA 02780-5403
Phone
(508) 692-9548
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-022252 OH
Dental Anesthesiology 1223D0004X DEN02953 RI
Dental Anesthesiology 1223D0004X 1855924 MA Primary

Addresses

Primary practice location

104 Dean St
#103
Taunton, MA 02780-5403

Mailing address

104 Dean St
#103
Taunton, MA 02780-5403
Phone (508) 692-9548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1855924MAMDDentist Anesthesiologist
DEN02953RIMDDentist Anesthesiologist
30-022252OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State Dental Faculty Practice Inc Past Accepting new patients
Oral Surgery Plus, LLC Dental Anesthesiology Past Accepting new patients
Northeast Dental Anesthesia Associates, PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1821155037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DEAN ST",
            "address_2": "#103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DEAN ST",
            "address_2": "#103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTERELL",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022252",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "RI",
            "license": "DEN02953",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MA",
            "license": "1855924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.