Active NPI
Richard James Kratochvil, D.D.S.
- Dentist
- Van Nuys, CA
National Provider Identifier
1609259522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28591
- Practice address
- 7136 Haskell Ave
#217
Van Nuys, CA 91406-4112 - Phone
- (818) 787-6060
- NPI assigned
- Jul 9, 2015
- Last updated
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28591 | CA | Primary |
Addresses
Primary practice location
7136 Haskell Ave
#217
Van Nuys, CA 91406-4112
Mailing address
7136 Haskell Ave
#217
Van Nuys, CA 91406-4112
Phone (818) 787-6060
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28591 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philomena O Oboh DDS a Professional Corporation | Past | Accepting new patients | |
| Richard J. Kratochvil D.D.S., Inc. | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Van Nuys, CA
- NPI 1831279736
-
dba global dental office
- General Practice Dentistry
- Van Nuys, CA
- NPI 1619376993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1609259522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 HASKELL AVE",
"address_2": "#217",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914064112",
"telephone_number": "818-787-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 HASKELL AVE",
"address_2": "#217",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914064112",
"telephone_number": "818-787-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATOCHVIL",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.