Active NPI
Richard Matthew Kralik, DMD
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1205455052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D012935
- Practice address
- 4811 E Grant Rd Ste 121
Tucson, AZ 85712-2763 - Phone
- (520) 276-0568
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | D012935 | AZ | Primary |
Addresses
Primary practice location
4811 E Grant Rd Ste 121
Tucson, AZ 85712-2763
Mailing address
3300 N Paseo de Los Rios Apt 24205
Tucson, AZ 85712-6616
Phone (470) 590-6849
Other practice location 1
240 S 40th St # 0450
Philadelphia, PA 19104-6030
Phone (215) 501-6552
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Road Dentistry, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1205455052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N PASEO DE LOS RIOS APT 24205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126616",
"telephone_number": "470-590-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 E GRANT RD STE 121",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122763",
"telephone_number": "520-276-0568"
}
],
"practiceLocations": [
{
"address_1": "240 S 40th St # 0450",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191046030",
"country_code": "US",
"telephone_number": "215-501-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRALIK",
"first_name": "RICHARD",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D012935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.