Krochmal Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KROCHMAL DENTAL INC

Doing business as

Dental Associates Roslindale

Practice address

893 South St
Roslindale, MA 02131-2411

Phone

(617) 323-3443

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Krochmal, DDSNPI 1649582479

Title

Owner/Dentist

Phone

(757) 636-0378

Specialties & licenses 1

Addresses

Other names 1

• Dental Associates Roslindale Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan S Krochmal, DDS

  • Dentist
  • Wayland, MA
  • NPI 1649582479
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1194447789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312411",
            "telephone_number": "617-323-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 SOUTH ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312411",
            "telephone_number": "617-323-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROCHMAL DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "KROCHMAL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "757-636-0378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krochmaldental@gmail.com",
            "affiliation": "N",
            "address_1": "893 South St",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021312411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Associates Roslindale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliya Kleiner, MA
• Veronica Margo Kortum
• Crystimaria Kotsiopoulos, PSYD
• Deborah L Krieg, R.D.
• Vijayashree Krishnan
• Jesse Reuben Krotick, MSW
• Megan Kuhnly
• Divya Kumar, LCSW
• Kathryn Doherty Kurtz, EDS, NCSP
• Doren Kwakumey, RN

• Dental Clinic/Center in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.