Individual provider Active NPI

John Francis Krawczyk, DDS

  • General Practice Dentistry
  • Maplewood, MN
National Provider Identifier
1619808532
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15453 Issued in MN
Practice address
1670 Beam Ave Ste 204
Maplewood, MN 55109-1227
Phone
(651) 925-8400
NPI assigned
May 28, 2026
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D15453 MN Primary

Addresses

Primary practice location

1670 Beam Ave Ste 204
Maplewood, MN 55109-1227

Mailing address

1670 Beam Ave Ste 204
Maplewood, MN 55109-1227
Phone (651) 925-8400

Other practice location 1

5700 Bottineau Blvd Ste 250
Crystal, MN 55429-3952
Phone (763) 270-5776

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
D15453MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Dental Care Inc General Practice PastSince Mar 6, 2022 Accepting new patients
Community Dental Care Inc General Practice PastSince Jun 30, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1619808532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 BEAM AVE STE 204",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091227",
            "telephone_number": "651-925-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BEAM AVE STE 204",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091227",
            "telephone_number": "651-925-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Bottineau Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293952",
            "country_code": "US",
            "telephone_number": "763-270-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.