Active NPI
Phillip Krayterman, DDS
- General Practice Dentistry
- Lancaster, OH
National Provider Identifier
1548050115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.027907
- Practice address
- 1582 E Main St
Lancaster, OH 43130-3490 - Phone
- (740) 829-5810
- NPI assigned
- May 8, 2025
- 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 | 30.027907 | OH | Primary |
Addresses
Primary practice location
1582 E Main St
Lancaster, OH 43130-3490
Mailing address
6894 Lexington Park Blvd
Mason, OH 45040-3433
Phone (513) 535-5276
Other practice location 1
784 E Main St
Lancaster, OH 43130-3983
Phone (740) 908-4842
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 |
|---|---|---|---|
| 30.027907 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1548050115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6894 LEXINGTON PARK BLVD",
"city": "MASON",
"state": "OH",
"postal_code": "450403433",
"telephone_number": "513-535-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 E MAIN ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303490",
"telephone_number": "740-829-5810"
}
],
"practiceLocations": [
{
"address_1": "784 E Main St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431303983",
"country_code": "US",
"telephone_number": "740-908-4842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAYTERMAN",
"first_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.027907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.