Active NPI
David Krawski, DMD
- Dentist
- Redmond, OR
National Provider Identifier
1568650588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9824
- Practice address
- 1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588 - Phone
- (541) 383-3005
- NPI assigned
- Oct 4, 2007
- Last updated
- Nov 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02178000 | NJ | |
| Dentist | 122300000X | D9824 | OR | Primary |
Addresses
Primary practice location
1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588
Mailing address
1250 SW Veterans Way
Redmond, OR 97756-2587
Phone (541) 383-3005
Other practice location 1
5 Main Street
Blairstown, NJ 07825
Phone (541) 323-3181
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 |
|---|---|---|---|
| 22DI02178000 | NJ | MD | Dentist |
| D9824 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients | |
| Mosaic Medical Dental | Past | Accepting new patients |
Locations
1250 SW Veterans Way
Ste 120
Redmond, OR 97756
Phone (541) 923-4462
Interoperability endpoints
- dkrawski289091@direct.ochin.org
Organizations & group practices 2
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.
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
- Federally Qualified Health Center (FQHC)
- Redmond, OR
- NPI 1942738588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1568650588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SW VETERANS WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562587",
"telephone_number": "541-383-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SW VETERANS WAY STE 120",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562588",
"telephone_number": "541-383-3005"
}
],
"practiceLocations": [
{
"address_1": "5 MAIN STREET",
"address_purpose": "LOCATION",
"city": "BLAIRSTOWN",
"state": "NJ",
"postal_code": "07825",
"country_code": "US",
"telephone_number": "541-323-3181",
"fax_number": "908-362-6292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAWSKI",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02178000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.