DR. KRISTAN JOI INGRAHAM (NPI# 1205215837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205215837 |
| Entity Type | Individual |
| Full Name | DR. KRISTAN JOI INGRAHAM |
| Credential | D.M.D. |
| Practice Address |
1478 Post Rd Fairfield CT 06824-5938 |
| Mailing Address |
6 Leatherwood Rd Norwalk CT 06851-3205 |
| Practice Telephone | 2033071550 |
| Mailing Telephone | 2037223027 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11944 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 493 Westport Ave # 1, Norwalk, CT 068514411 | 2033071550 | |
| 324 Elm St Ste 101b, Monroe, CT 064682283 | 2033071550 |
| Street Address |
1478 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831211721 | Gregory Mokotoff | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2007-04-04 |
| 1316230493 | Michelle Grosso Neves | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2011-05-23 |
| 1689988255 | Emily C Gabeler | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2010-08-05 |
| 1568692663 | Cass D Burrell | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2009-07-23 |
| 1437399607 | Melanie Rae Rothberg | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2009-03-02 |
| 1326260332 | Jennifer Danielle Epstein | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740795657 | Tavallaei, D.m.d., Corporation | Dentist | 1955 W Texas St Ste 2a, Fairfield, CA 94533-4462 | 2017-12-14 |
| 1396006110 | Adam Shaffer | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2012-06-07 |
| 1326255373 | Kids First Pediatric Dentistry & Orthodontics | Dentist | 1478 Post Rd., Fairfield, CT 06824-5938 | 2007-05-17 |
| 1831211721 | Gregory Mokotoff | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2007-04-04 |
| 1821175514 | Mark Choi | Dentist | 2500 N Texas St, Suite C, Fairfield, CA 94533-1639 | 2006-11-01 |
| 1568552909 | Irma Lucia Garcia | Dentist | 3694 Hilborn Road, Fairfield, CA 94534 | 2006-10-14 |
| 1558311951 | Richard W. Kennedy | Dentist | 1246 Nilles Rd, Suite 3, Fairfield, OH 45014-2912 | 2006-05-10 |
| 1013514140 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2020-10-01 |
| 1902374739 | Adams Shaffer Dds Inc | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2018-11-09 |
| 1386009884 | Dennis Paul Nutter Dds, Inc | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2015-12-28 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.