Active NPI
Mitchell W Kramer, DDS
- General Practice Dentistry
- Chandler, OK
National Provider Identifier
1295818995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5487
- Practice address
- 1516 South Iowa
Chandler, OK 74834 - Phone
- (405) 258-2684
- Fax
- (405) 258-5353
- NPI assigned
- Oct 24, 2006
- 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 | 5487 | OK | Primary |
Addresses
Primary practice location
1516 South Iowa
Chandler, OK 74834
Mailing address
PO Box 249
Chandler, OK 74834
Phone (405) 258-2684
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01307505 | Other | UNITED CONCORDIA | |
| 100120240A | Medicaid | OK |
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 |
|---|---|---|---|
| 5487 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaw PC | General Practice | Past | Accepting new patients |
| Nicki Schafer DDS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Chandler, OK
- NPI 1477970259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1295818995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "CHANDLER",
"state": "OK",
"postal_code": "74834",
"telephone_number": "405-258-2684",
"fax_number": "405-258-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 SOUTH IOWA",
"city": "CHANDLER",
"state": "OK",
"postal_code": "74834",
"telephone_number": "405-258-2684",
"fax_number": "405-258-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MITCHELL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01307505",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100120240A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.