Individual provider Active NPI

Kristina Nevy, D.D.S.

  • Dentist
  • Chadds Ford, PA
National Provider Identifier
1851661375
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 035500 Issued in PA
Practice address
100 Ridge Rd
Suite 36
Chadds Ford, PA 19317-9784
Phone
(610) 558-1760
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 035500 PA Primary
Dentist 122300000X 12966 MD

Addresses

Primary practice location

100 Ridge Rd
Suite 36
Chadds Ford, PA 19317-9784

Mailing address

100 Ridge Rd
Suite 36
Chadds Ford, PA 19317-9784
Phone (610) 558-1760

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12966MDMDDentist
DS 035500PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna C Giacalone DMD Inc Past Accepting new patients

Organizations & group practices 1

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1851661375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE RD",
            "address_2": "SUITE 36",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179784",
            "telephone_number": "610-558-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE RD",
            "address_2": "SUITE 36",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179784",
            "telephone_number": "610-558-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVY",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 035500",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.