DR. KRISTEN ELENA EGUREN (DMD) – Prosthodontics, NPI 1124510581

DR. KRISTEN ELENA EGUREN (DMD) is a healthcare provider. based in Louisville, Kentucky. specializing in DENTIST. They hold the professional credentials DMD. They hold a License No. 10141 (KY). The NPI Number for DR. KRISTEN ELENA EGUREN (DMD) is 1124510581

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTEN ELENA EGUREN (DMD)
NPI
1124510581
Phone
(336) 707-7131
Address
800 S 4TH ST APT 809
Enumeration Date
1 June 2018
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
5028525103
Graduation Year
2018 (8 years ago)
PAC ID
0143579045
Group Practice PAC ID
2264480615
Professional Enrollment ID
I20250828000457
Address ID
KY402021701LO501XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

45 DENTIST in KY

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Provider Addresses for DR. KRISTEN ELENA EGUREN (DMD)

  • 800 S 4TH ST APT 809

    LOUISVILLE, KY 402032177

    Phone: (336) 707-7131

    Type: Mailing

  • 501, South Preston Street, Louisville, Jefferson County, Kentucky, 40202, United States

    LOUISVILLE, KY 402021701

    Phone: (336) 707-7131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Dentsply Sirona Inc ($65).

Total Amount

$126

General + Research + Ownership

Payments

2

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250828000457IDentistKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264480615View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryKY
Oral Surgery, Maxillofacial SurgeryKY
-KY
-VA
P A T H O L O G YNY
Maxillofacial SurgeryKY
Oral SurgeryKY
D E N T I S TKY

Reviews

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Frequently asked questions

What identifier follows DR. KRISTEN ELENA EGUREN (DMD) across health systems?
The NPI 1124510581 uniquely identifies DR. KRISTEN ELENA EGUREN (DMD) in U.S. healthcare data.
Is DR. KRISTEN ELENA EGUREN (DMD) currently accepting referrals based on NPI status?
Registry metadata lists DR. KRISTEN ELENA EGUREN (DMD) as active.
What does the directory say DR. KRISTEN ELENA EGUREN (DMD) does?
Insurance directories may phrase it differently, but here DR. KRISTEN ELENA EGUREN (DMD) maps to Prosthodontics. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KRISTEN ELENA EGUREN (DMD)?
DR. KRISTEN ELENA EGUREN (DMD) is associated with Louisville, Kentucky in the same public data insurers reference.
Who maintains DR. KRISTEN ELENA EGUREN (DMD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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