Phillip Brian Kraver, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19091 Issued in FL

Practice address

3001 Del Prado Blvd S
Cape Coral, FL 33904-7208

Phone

(239) 549-8921

Fax

(239) 542-2811

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1104137488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-549-8921",
            "fax_number": "239-542-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047208",
            "telephone_number": "239-549-8921",
            "fax_number": "239-542-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVER",
        "first_name": "PHILLIP",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Steven Kovacs, RN
• Frank Kratofil, PHARMD
• Sarah H Krauss, M.D.
• Kraver, Inc.
• Mark Phillip Kraver, DDS
• Keysha Kren, PSY.D.
• Mike Krill
• Ananthalakshmi Krishnan, M.D.
• Kyle Brian Kromrey, D.M.D.
• Jennifer Lynn Kuchuk

• General Practice Dentistry in Cape Coral, FL
• Providers in Cape Coral, 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 Jul 6, 2012; 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.