William B Krissoff MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G26823 Issued in CA

Legal business name

WILLIAM B KRISSOFF MD INC

Practice address

10051 Lake Ave Ste 4
Truckee, CA 96161-4825

Phone

(530) 582-0202

Fax

(530) 582-0206

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Christine M Krissoff

Title

Office Manager

Phone

(530) 582-0202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821159781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE STE 4",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614825",
            "telephone_number": "530-582-0202",
            "fax_number": "530-582-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE STE 4",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614825",
            "telephone_number": "530-582-0202",
            "fax_number": "530-582-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B KRISSOFF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISSOFF",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-582-0202"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G26823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ann Wayman Klein, RN, CDE
• Michaela Webb
• Kathleen Danielle Weigand, LMFT, LCADC
• Jerad L West, D.D.S.
• Colleen Wilford
• Kevin D Williams, MBA, MED, LPC
• Ladd Ryan Williams, P.T.
• Meghan Williams, LCSW
• Scott Allen Williams, P.T.
• Marilyn Elizabeth Willis, CRNFA

• Specialist in Truckee, CA
• Providers in Truckee, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.