Active NPI
Jeff L Krannawitter, DDS
- General Practice Dentistry
- Arvada, CO
National Provider Identifier
1154447084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8917
- Practice address
- 8721 Wadsworth Blvd Ste B
Arvada, CO 80003-0920 - Phone
- (303) 420-2061
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8917 | CO | Primary |
Addresses
Primary practice location
8721 Wadsworth Blvd Ste B
Arvada, CO 80003-0920
Mailing address
9939 Newton CT
Westminster, CO 80031-2649
Phone (303) 243-4661
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8917 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1154447084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 NEWTON CT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800312649",
"telephone_number": "303-243-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8721 WADSWORTH BLVD STE B",
"city": "ARVADA",
"state": "CO",
"postal_code": "800030920",
"telephone_number": "303-420-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANNAWITTER",
"first_name": "JEFF",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.