Jerry William Krape, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN4345 Issued in FL

Practice address

700 Federal Highway US#1
Lake Park, FL 33403

Phone

(561) 842-4858

Fax

(561) 848-3632

NPI assigned

Feb 20, 2008

Last updated

Feb 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jerry W. Krape , DDS

  dba Jerry W. Krape, DDS, PA

  • General Practice Dentistry
  • Lake Park, FL
  • NPI 1689797821
  NPD (past) Authorized official

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1386812667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FEDERAL HIGHWAY US #1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-842-4858",
            "fax_number": "561-848-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FEDERAL HIGHWAY US#1",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-842-4858",
            "fax_number": "561-848-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAPE",
        "first_name": "JERRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Let Lizz DO It (El El De I Extensions)

• General Practice Dentistry in Lake Park, FL
• Providers in Lake Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.