Rodion Kryzhanovskiy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24245 Issued in FL

Practice address

956 S Military TRL
West Palm Beach, FL 33415-3910

Phone

(561) 359-6482

NPI assigned

Jun 26, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1760043079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 IMPERIAL CLUB LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498648",
            "telephone_number": "646-577-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 S MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153910",
            "telephone_number": "561-359-6482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 General Booth Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234567755",
            "country_code": "US",
            "telephone_number": "757-552-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYZHANOVSKIY",
        "first_name": "RODION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416583",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krodh LLC
• Laura Christine Kroner, D.D.S.
• Dana Robinson Krumholz, M.D.
• Steven Krumholz, M.D.
• Jennifer Kruppenbacher
• Keely Kubly, M.D.
• Nayda Lavinia Kubski, M.D.
• Barbara L Kucinich, APRN, FNP-BC
• Walter Kuethman
• Cristina Kuhnel, DMD

• General Practice Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.