DR. KATIE ROSE PETROLA DDS
NPI 1508279720
Dentist in Kernersville, NC

Q: What is Katie Petrola's NPI number?

The NPI number for Katie Petrola is 1508279720. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Katie Petrola's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Petrola was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2014PECOS Enrolled

1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 716-2160 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Katie Rose Petrola Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATIE ROSE PETROLA DDS (NPI 1508279720) is an individual dentist in Kernersville, North Carolina, licensed in North Carolina (10100) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508279720

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KATIE ROSE PETROLACredential: DDS

Location Address1695 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7159

Mailing Address161 Sprunt StChapel Hill, NC 27517-7810 · (513) 417-4191

Phone(336) 716-2160

Sole ProprietorNo

Enumeration DateJune 5, 2014

Last NPPES UpdateDecember 17, 2025

NPPES CertifiedDecember 17, 2025

✔ NPI 1508279720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 10100

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1695 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katie Rose Petrola Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN D. SANDER N.P.

Nurse Practitioner