Kraski, Costello & Drake, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KRASKI, COSTELLO & DRAKE, PA

Practice address

1089 W Granada Blvd
Suite 1
Ormond Beach, FL 32174-8116

Phone

(386) 673-1611

Fax

(386) 672-3543

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Rocca

Title

Office Manager

Phone

(386) 673-1611

Specialties & licenses 1

Addresses

Other names 1

• AtlanticDentists.com Doing business as

Locations

Practitioners 2

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

• Fredrick William Costello, D.D.S.

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1245243401
  NPD (past)
• Daniel Raymond Drake, D.D.S.

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1033386693
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1073798518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 W GRANADA BLVD",
            "address_2": "SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748116",
            "telephone_number": "386-673-1611",
            "fax_number": "386-672-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 W GRANADA BLVD",
            "address_2": "SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748116",
            "telephone_number": "386-673-1611",
            "fax_number": "386-672-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASKI, COSTELLO & DRAKE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "ROCCA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-673-1611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlanticDentists.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwen H Kotler, MSW,LCSW
• Thomas Krajewski, MD
• Angela Weber Kramer, SLP
• Jennifer Kramer, FNP
• Viktoria Kramer, L.M.T.
• Angelica Ray Kraus
• Elizabeth Krochak, M.D.,P.A.
• Rian Kubannek, BCBA
• Laura Kuftic
• Remina Kumar

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.