Active NPI
Krystyna E Wolski, MD, DMD,DDS
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1205980687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40832
- Practice address
- 14269 N 87TH St Ste 107
Scottsdale, AZ 85260-3694 - Phone
- (516) 643-7876
- NPI assigned
- Jan 22, 2007
- Last updated
- Jan 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40832 | AZ | Primary |
Addresses
Primary practice location
14269 N 87TH St Ste 107
Scottsdale, AZ 85260-3694
Mailing address
14269 N 87TH St Ste 107
Scottsdale, AZ 85260-3694
Phone (516) 643-7876
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1205980687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14269 N 87TH ST STE 107",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603694",
"telephone_number": "516-643-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14269 N 87TH ST STE 107",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603694",
"telephone_number": "516-643-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLSKI",
"first_name": "KRYSTYNA",
"middle_name": "E",
"credential": "MD, DMD,DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "40832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.