Larry Elliot Krevitz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022252L Issued in PA

Practice address

122 N York Rd
Suite 11
Hatboro, PA 19040-2617

Phone

(215) 674-2505

Fax

(215) 674-2953

NPI assigned

May 27, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740283381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N YORK RD",
            "address_2": "SUITE 11",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402617",
            "telephone_number": "215-674-2505",
            "fax_number": "215-674-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N YORK RD",
            "address_2": "SUITE 11",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402617",
            "telephone_number": "215-674-2505",
            "fax_number": "215-674-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREVITZ",
        "first_name": "LARRY",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022252L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Klos, PTA
• Vani Kohli
• Meghan Kraenbring Comerford, PSY.D.
• Lindsey Krause
• Marie Josephine Kraut, M.A.
• Bailey Krewson
• Aaron Krpata
• Stacia Kuzio, OTR/L
• Tiffany Leonard, M.D.
• Glenn S Levin, O.D.

• General Practice Dentistry in Hatboro, PA
• Providers in Hatboro, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.