David J. Krynauw, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13287 Issued in FL

Legal business name

DAVID J. KRYNAUW, DDS, PA

Practice address

1761 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479

Phone

(772) 335-0993

Fax

(772) 335-8192

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David J Krynauw, DDS

Title

Owner

Phone

(772) 335-0993

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin V Diep, DMD

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1093875940
  NPD (past)
• Tracie Tram Le, DMD

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1710705363
  NPD (past)
• Vu Pham, DMD

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1891303335
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1699032490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-0993",
            "fax_number": "772-335-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-0993",
            "fax_number": "772-335-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. KRYNAUW, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "KRYNAUW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-335-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "13287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyntyche Darling
• Snigdha Das, MD
• Adley Dasilva, PA
• Judy R Dasilva, DNP, MSN, ARNP, FNP
• Charlene M Daumke, RPH
• David R Matos Occupational Therapy Services LLC (Onward Therapy Pediatrics)
• David Torres, M.D., P.a.
• Jerel C David, MD
• Deborah Gail Davidson, LCSW
• Tricia Shereen Davidson, COTA/L

• Dental Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.