NPI Code Detail JSON Logo

1588141055 NPI number — KRISTIANA R KALIBAT D.M.D.

NPI Number: 1588141055
Health Care Provider/Practitioner: KRISTIANA R KALIBAT D.M.D.

Information about “1588141055” NPI (KRISTIANA R KALIBAT D.M.D.) exists in 1588141055 in HTML format HTML  |  1588141055 in plain Text format TXT  |  1588141055 in PDF (Portable Document Format) PDF  |  1588141055 in an XML format XML  formats.

NPI Number : 1588141055 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588141055",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KALIBAT",
    "FirstName": "KRISTIANA",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "134 BALDWIN AVE APT 709",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JERSEY CITY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07306-2085",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "SAGE DENTAL OF POLO GROUNDS, PLLC",
    "SecondLinePracticeLocationAddress": "956 S MILITARY TRL",
    "PracticeLocationAddressCityName": "WEST PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-359-6482",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2018",
    "LastUpdateDate": "07/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "DI02720100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223E0200X",
          "TaxonomyName": "Endodontics",
          "LicenseNumber": "DN23382",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.