Dmitriy Kravchenko, DMD DO

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN23208 Issued in FL

Practice address

1937 N Military TRL Ste U
West Palm Beach, FL 33409-4764

Phone

(561) 468-5913

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1669901153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 N MILITARY TRL STE U",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094764",
            "telephone_number": "561-468-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 N MILITARY TRL STE U",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094764",
            "telephone_number": "561-468-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVCHENKO",
        "first_name": "DMITRIY",
        "name_prefix": "Dr.",
        "credential": "DMD DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Kramer
• Karen Lundell Kramser, MS, RDN
• Barbara A. Krantz, D.O.
• Jeffrey Kranzler, LCSW
• Terrance Edward Kraus, PHD, LCSW
• Spencer Kreger, M.D.
• Carol Kreider, APRN
• Mikayla Kress, LCSW
• Deborah Lee Krieg, CTRS
• Rhonda Marie Krieger I, RCSWI SWI 2438

• Oral & Maxillofacial Surgery (D.M.D.) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.