Individual provider Active NPI

Kole Krasniqi, DDS

  • Dentist
  • Meriden, CT
National Provider Identifier
1891844478
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13288 Issued in CT
Practice address
166 S Broad St
Meriden, CT 06450-6524
Phone
(203) 235-3738
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13288 CT Primary

Addresses

Primary practice location

166 S Broad St
Meriden, CT 06450-6524

Mailing address

257 James St
Fairfield, CT 06824-6477
Phone (816) 786-1132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000412 MO Order and Referring Only - DentistPractitioner - Dentist 3375831969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13288CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Meriden-Wallingford Dentistry LLC General Practice CurrentSince Aug 3, 2025 Accepting new patients
Norwalk DDS LLC Dentist Current Accepting new patients
Kole Krasniqi DDS, PC General Practice Past Accepting new patients
Hergott Dental Associates LLC General Practice PastSince Aug 3, 2025 Accepting new patients

Locations

166 S Broad St
Meriden, CT 06450
Phone (203) 235-3738

Organizations & group practices 4

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1891844478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 JAMES ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246477",
            "telephone_number": "816-786-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506524",
            "telephone_number": "203-235-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNIQI",
        "first_name": "KOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.