Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013438118 Individual Practitioner Female Practitioner

Dr. Kristy Winata , DMD

Dentist - General Practice • Beverly, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kristy Winata, DMD is a registered healthcare professional specializing in Dentist - General Practice in Beverly, MA. Practice services are available at 495 CABOT ST # 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

495 Cabot St # 201

Beverly, MA 019152515

Telephone 9789270324
Associated Practice Facility / Clinic
🏢 David C. Cormier, D.d.s. Facility NPI 1528182284

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Beverly, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1857643

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

27 Alpine St Apt 5

Malden, MA 021483629

Phone: 7165453445

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Cormier , DDS

Dentist - General Practice

NPI 1306867130

Doctor of Dental Surgery

Dr. Priscilla Magnuson , DMD

Dentist - General Practice

NPI 1326078486

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 31, 2020

Registered at 495 CABOT ST # 201, BEVERLY, MA 019152515 (Tel: 9789270324)

📍
Updated Business Mailing Address August 31, 2020

Registered at 495 CABOT ST # 201, BEVERLY, MA 019152515 (Tel: 9789270324)

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 27 ALPINE ST APT 5, MALDEN, MA 021483629 (Tel: 7165453445)

📍
Updated Business Mailing Address June 29, 2017

Registered at 27 ALPINE ST APT 5, MALDEN, MA 021483629

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as KRISTY WINATA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Dentist (License #DN1857643 in MA)

🟢
Initial NPI Registration & Enumeration June 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013438118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2017
Last Update: August 31, 2020
Sole Proprietor: No

Mailing Address

495 Cabot St # 201

Beverly, MA 019152515

Phone: 9789270324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.