Krivarchka Family Dentistry P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0911 Issued in SD

Legal business name

KRIVARCHKA FAMILY DENTISTRY P.C.

Practice address

1511 W Holly Blvd
Brandon, SD 57005-2658

Phone

(605) 951-1084

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matt Victor Krivarchka, DDS

Title

Dentist

Phone

(605) 951-1084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1760738967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 W GRINNELL CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067669",
            "telephone_number": "605-951-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052658",
            "telephone_number": "605-951-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIVARCHKA FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "KRIVARCHKA",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-951-1084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jones, O.D.
• Karla Karrin Jorgenson, OTR/L
• Michael R Juba, DDS
• Ashley Rae Kann, PHARMD, BCCCP
• Christi Kotzenmacher, RN
• Matthew Krivarchka
• Cody Lee Kruckenberg, D.C.
• Lindsey Krueger, SW
• Jessica Landry, DPT
• Tesza Jo Larios, DOULA

• General Practice Dentistry in Brandon, SD
• Providers in Brandon, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.