DRS KRISHINGNER ROOT AND ASSOC PLLC

Provider Demographics

• NPI: 1205997053
• Name: DRS KRISHINGNER ROOT AND ASSOC PLLC
• Entity type: Organization
• Organization Name: DRS KRISHINGNER ROOT AND ASSOC PLLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: BILLING SPECIALIST
• Authorized Official - First Name: AMBER
• Authorized Official - Middle Name: N
• Authorized Official - Last Name: OWEN
• Authorized Official - Phone: 828-884-2801
• Mailing Address - Street 1: 123 EAST MAIN ST SUITE 300
• Mailing Address - Street 2: DRS KRISHINGNER ROOT AND ASSOC PLLC
• Mailing Address - City: BREVARD
• Mailing Address - State: NC
• Mailing Address - Zip Code: 28712
• Mailing Address - Country: US
• Mailing Address - Phone: 828-884-3421
• Mailing Address - Fax: 828-884-6336
• Practice Address - Street 1: 123 EAST MAIN ST SUITE 300
• Practice Address - Street 2: DRS KRISHINGNER ROOT AND ASSOC PLLC
• Practice Address - City: BREVARD
• Practice Address - State: NC
• Practice Address - Zip Code: 28712
• Practice Address - Country: US
• Practice Address - Phone: 828-884-3421
• Practice Address - Fax: 828-884-6336
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-12-13
• Last Update Date: 2023-04-13

Provider Licenses

State	License ID	Taxonomies
NC	6355	1223G0001X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	1223G0001X	Dental Providers	Dentist	General Practice	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	017V0	Other	BLUECROSSBLUESHEILD GROUP
NC	1205997053	Other	ORGANIZATIONAL NPI
NC	1134215957	Other	JOHN A KRISHINGNER NPI
NC	1295837482	Other	MILTON V MASSEY NPI
NC	8995066	Medicaid
NC	1639100209	Other	JEFFREY T ROOT NPI
NC	5900566	Medicaid
NC	5900290	Medicaid
NC	8995505	Medicaid
NC	1366557134	Other	DAVID S KRISHINGNER NPI
NC	5905642	Medicaid
NC	1205997053	Other	ORGANIZATIONAL NPI