Individual provider Active NPI

David Krawski, DMD

  • Dentist
  • Redmond, OR
National Provider Identifier
1568650588
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9824 Issued in OR
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22DI02178000NJMDDentist
D9824ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Health CurrentSince Nov 10, 2019 Accepting new patients
Mosaic Medical Dental PastSince Nov 10, 2019 Accepting new patients

Locations

1250 SW Veterans Way
Ste 120
Redmond, OR 97756
Phone (541) 923-4462

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.