Individual provider Active NPI

Christina Marie Kraft, D.M.D.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1366679870
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7768 Issued in AZ
Practice address
9660 E 22ND St
#160
Tucson, AZ 85748-7561
Phone
(520) 719-0666
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7768 AZ Primary

Addresses

Primary practice location

9660 E 22ND St
#160
Tucson, AZ 85748-7561

Mailing address

4356 N Rio Cancion
Apt 303
Tucson, AZ 85718-7173
Phone (215) 834-7898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015102 AZ Order and Referring Only - DentistPractitioner - Dentist 1153635883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7768AZMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1366679870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4356 N RIO CANCION",
            "address_2": "APT 303",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187173",
            "telephone_number": "215-834-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 E 22ND ST",
            "address_2": "#160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487561",
            "telephone_number": "520-719-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.