Individual provider Active NPI

Maury Howard Krystel, D.D.S.

  • General Practice Dentistry
  • Pinellas Park, FL
National Provider Identifier
1821119157
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6416 Issued in FL
Practice address
9899 66TH St N
Pinellas Park, FL 33782-3010
Phone
(727) 575-7900
Fax
(727) 258-4804
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6416 FL Primary

Addresses

Primary practice location

9899 66TH St N
Pinellas Park, FL 33782-3010

Mailing address

9899 66TH St N
Pinellas Park, FL 33782-3010
Phone (727) 575-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6416FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1821119157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9899 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823010",
            "telephone_number": "727-575-7900",
            "fax_number": "727-258-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9899 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823010",
            "telephone_number": "727-575-7900",
            "fax_number": "727-258-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSTEL",
        "first_name": "MAURY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.