Kristin Lee Donaldson

Primary specialty

DentistTaxonomy code 122300000X

License

30024165 Issued in OH

Practice address

1951 State Route 59 Ste B
Kent, OH 44240-8128

Phone

(330) 678-3990

NPI assigned

Apr 5, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Express Kent Laura B Williams DMD LLC

  • General Practice Dentistry
  • Kent, OH
  • NPI 1104138262
  NPD (past)
• Professional Dental Alliance

  • General Practice Dentistry
  • Kent, OH
  • NPI 1447555610
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1982947107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 CHAMBERLAIN RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333476",
            "telephone_number": "330-875-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 STATE ROUTE 59 STE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408128",
            "telephone_number": "330-678-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30024165",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Dobbins-Rivera, LPN
• Nancy Marsh Docherty, PH.D.
• William Paul Dodge, LSW
• Diane Marie Dolbow, LPN
• Mildred Louise Domnie
• Jelani Dorsey
• Katrina Lynn Dotterweich
• Dina Marie Douglas, LISW-S
• Lori Larson Draper, LPN
• Barbara Lynn Drew, RN, CNS

• Dentist in Kent, OH
• Providers in Kent, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.