Organization Active NPI

Kristina W. Naternicola, DDS PLLC

  • Dental Clinic/Center
  • Sutton, WV
National Provider Identifier
1912470501
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISTINA W. NATERNICOLA, DDS PLLC
Practice address
304 Riverview Dr
Sutton, WV 26601-1343
Phone
(304) 765-2522
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Kristina W Naternicola
Title
Owner/ Dentist
Phone
(304) 765-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

304 Riverview Dr
Sutton, WV 26601-1343

Mailing address

PO Box 485
Sutton, WV 26601-0485
Phone (304) 765-2522

National Provider Directory

National Provider Directory

Locations

304 Riverview Dr
Sutton, WV 26601
Phone (304) 765-2522

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1912470501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266010485",
            "telephone_number": "304-765-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 RIVERVIEW DR",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266011343",
            "telephone_number": "304-765-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA W. NATERNICOLA, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "NATERNICOLA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "304-765-2522"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.