Organization Active NPI

Natalya I Kravetskaya DMD PC

Doing business as Welcome Dental

  • General Practice Dentistry
  • Lynn, MA
National Provider Identifier
1003943895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19223 Issued in MA
Legal business name
NATALYA I KRAVETSKAYA DMD PC
Doing business as
Welcome Dental
Practice address
30 State St
Lynn, MA 01901-1505
Phone
(781) 595-8606
Fax
(781) 595-8370
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Natalya Iosifovna Kravetskaya, D.M.D.NPI 1891810180
Title
President
Phone
(781) 595-8606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19223 MA Primary

Addresses

Primary practice location

30 State St
Lynn, MA 01901-1505

Mailing address

30 State St
Lynn, MA 01901-1505
Phone (781) 595-8606

Other identifiers 1

IdentifierTypeStateIssuer
0282146MedicaidMA

Other names 1

  • Welcome Dental Doing business as

National Provider Directory

National Provider Directory

Locations

30 State St
Lynn, MA 01901
Phone (781) 595-8606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003943895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-595-8606",
            "fax_number": "781-595-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STATE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011505",
            "telephone_number": "781-595-8606",
            "fax_number": "781-595-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA I KRAVETSKAYA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAVETSKAYA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_middle_name": "IOSIFOVNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-595-8606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282146",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.