Active NPI
Monika Kraft, DDS
- General Practice Dentistry
- The Dalles, OR
National Provider Identifier
1326538604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11017
- Practice address
- 1040 Webber St
The Dalles, OR 97058-3749 - Phone
- (541) 386-6380
- NPI assigned
- May 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | D11017 | OR | Primary |
Addresses
Primary practice location
1040 Webber St
The Dalles, OR 97058-3749
Mailing address
849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380
Other practice location 1
1860 E Egbert St
Brighton, CO 80601-2404
Phone (303) 697-2583
Other practice location 2
849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380
Other names 1
- Monika Czekalska
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 |
|---|---|---|---|
| D11017 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1326538604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 PACIFIC AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311956",
"telephone_number": "541-386-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 WEBBER ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583749",
"telephone_number": "541-386-6380"
}
],
"practiceLocations": [
{
"address_1": "1860 E Egbert St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "CO",
"postal_code": "806012404",
"country_code": "US",
"telephone_number": "303-697-2583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "849 Pacific Ave",
"address_purpose": "LOCATION",
"city": "Hood River",
"state": "OR",
"postal_code": "970311956",
"country_code": "US",
"telephone_number": "541-386-6380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAFT",
"first_name": "MONIKA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-13",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"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": "OR",
"license": "D11017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIKA",
"last_name": "CZEKALSKA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.