Individual provider Active NPI

Kristina Lynn Lobb, RDH, BS

  • Dental Hygienist
  • Tonganoxie, KS
National Provider Identifier
1962736884
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2005015346 Issued in MO
Practice address
706 River St
Tonganoxie, KS 66086-9586
Phone
(913) 634-0417
NPI assigned
Sep 24, 2009
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2005015346 MO Primary
Dental Hygienist 124Q00000X 10594 KS

Addresses

Primary practice location

706 River St
Tonganoxie, KS 66086-9586

Mailing address

706 River St
Tonganoxie, KS 66086-9586
Phone (913) 634-0417

Other names 1

  • Kristina Lynn Ladas Former name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
10594KSMDDental Hygienist
2005015346MOMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1962736884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RIVER ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869586",
            "telephone_number": "913-634-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIVER ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869586",
            "telephone_number": "913-634-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBB",
        "first_name": "KRISTINA",
        "middle_name": "LYNN",
        "credential": "RDH, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2005015346",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "10594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "LADAS",
            "middle_name": "LYNN",
            "credential": "RDH, BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tonganoxie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.