Diane Vavrik Crater, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9628 Issued in MN

Practice address

8063 Hadley Ave S
Cottage Grove, MN 55016-2652

Phone

(651) 459-4894

Fax

(651) 458-4940

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154375327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 HADLEY AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162652",
            "telephone_number": "651-459-4894",
            "fax_number": "651-458-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 HADLEY AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162652",
            "telephone_number": "651-459-4894",
            "fax_number": "651-458-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "DIANE",
        "middle_name": "VAVRIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN TAX ID",
            "identifier": "1151079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN UI",
            "identifier": "2167963000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cottage Grove Chiropractic Clinic, PA
• Cottage Grove Smiles Dentistry, PC
• Cottage Grove WP, LLC
• Jodi J Cowan, LPC
• Sarah Crandall, L.M.T.
• Shannon Carol Cunningham, D.D.S.
• Linda M Cutler, AMP
• Terecha Abebe Damesse, RN
• Kyle Davenport
• Sarah Davis, LCSW

• General Practice Dentistry in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.