Joe William Krayer, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

ID0021 Issued in SC

Practice address

173 Ashley BSB 346
Dental Faculty Prac College of Dental Medicine Musc
Charleston, SC 29425

Phone

(843) 792-3444

Fax

(843) 792-7809

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669530994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIVER LANDING DR",
            "address_2": "#5111",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-471-2580",
            "fax_number": "843-792-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 ASHLEY BSB 346",
            "address_2": "DENTAL FACULTY PRAC COLLEGE OF DENTAL MEDICINE MUSC",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-3444",
            "fax_number": "843-792-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYER",
        "first_name": "JOE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "ID0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E. Kratzer, FNP
• Mariana Lynn Kraus
• Martha J Krauss, CNM
• Jacqueline M Kraveka, DO
• Jennifer Anne Krawczak, RN
• Cheyenne Krehl, MD
• Darla K Kreis, MSN-RN, FNP-BC
• Lauren Krell, DDS
• David Joseph Kreps, DO
• Amy Louise Kret, CRNA

• Periodontics in Charleston, SC
• Providers in Charleston, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.