Jack T. Krauser, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN7727 Issued in FL

Practice address

1499 W Palmetto Park Rd
Ste.302
Boca Raton, FL 33486-3328

Phone

(561) 392-4747

Fax

(561) 392-8320

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1457574048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD",
            "address_2": "STE.302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863328",
            "telephone_number": "561-392-4747",
            "fax_number": "561-392-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD",
            "address_2": "STE.302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863328",
            "telephone_number": "561-392-4747",
            "fax_number": "561-392-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSER",
        "first_name": "JACK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN7727",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Kratky, ARNP
• David Louis Kraus, DDS
• Lauren Kraus
• Krause Integrative Medicine, Inc.
• Garrett Emil Krause, A.P.
• Erica Sophia Kravit, ARNP-C
• Danielle Kravitz, A.P.
• Madyson Kravitz, RBT
• Michael James Krebsbach, M.D.
• Jennifer Kreger, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.