Kristofer Alan Popelas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036935 Issued in PA

Practice address

206 Oak St.
Suite 3
Rillton, PA 15678

Phone

(724) 446-2727

Fax

(724) 446-2700

NPI assigned

Jan 2, 2007

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1881751824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "RILLTON",
            "state": "PA",
            "postal_code": "156780425",
            "telephone_number": "724-446-2727",
            "fax_number": "724-446-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 OAK ST.",
            "address_2": "SUITE 3",
            "city": "RILLTON",
            "state": "PA",
            "postal_code": "15678",
            "telephone_number": "724-446-2727",
            "fax_number": "724-446-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELAS",
        "first_name": "KRISTOFER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036935",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Feltes-McCurdy, MSOTRL
• Linda Rose Harvey, LSW
• Julia T Mathos, DO
• Amanda Trayers

• General Practice Dentistry in Rillton, PA
• Providers in Rillton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.