Individual provider Active NPI

Krystyna E Wolski, MD, DMD,DDS

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1205980687
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40832 Issued in AZ
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.