Active NPI
John Kralles, RD, CDN
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1104991454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005472
- Practice address
- 222 Alexander St
Ste 5100
Rochester, NY 14607-4039 - Phone
- (585) 922-8400
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005472 | NY | Primary |
Addresses
Primary practice location
222 Alexander St
Ste 5100
Rochester, NY 14607-4039
Mailing address
222 Alexander St
Ste 5100
Rochester, NY 14607-4039
Phone (585) 922-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005472 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1104991454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "STE 5100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "STE 5100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALLES",
"first_name": "JOHN",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.