Individual provider Active NPI

Richard Krawczyk, DDS

  • Dentist
  • Dunedin, FL
National Provider Identifier
1700845781
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 10780 Issued in FL
Practice address
3310 Alternate 19
Dunedin, FL 34698-1516
Phone
(727) 785-0589
Fax
(727) 771-9659
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22081 OH
Dentist 122300000X DN 10780 FL Primary

Addresses

Primary practice location

3310 Alternate 19
Dunedin, FL 34698-1516

Mailing address

3310 Alternate 19
Dunedin, FL 34698-1516
Phone (727) 785-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150805007619 FL Order and Referring Only - DentistPractitioner - Dentist 4284948118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 10780FLMDDentist
22081OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Krawczyk DDS PA Dentist PastSince Jul 30, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1700845781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 ALTERNATE 19",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981516",
            "telephone_number": "727-785-0589",
            "fax_number": "727-771-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 ALTERNATE 19",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981516",
            "telephone_number": "727-785-0589",
            "fax_number": "727-771-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "22081",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 10780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.