Pavel Krastev, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044978 Issued in NY

Practice address

812 Jericho Tpke
New Hyde Park, NY 11040-4514

Phone

(516) 355-9510

Fax

(516) 437-4567

NPI assigned

Jun 20, 2008

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiant Smile Dental Care PC

  • Dental Clinic/Center
  • New Hyde Park, NY
  • NPI 1043580038
  NPD (past) Authorized official

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1841451952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-355-9510",
            "fax_number": "516-437-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404514",
            "telephone_number": "516-355-9510",
            "fax_number": "516-437-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASTEV",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard J Kraft, MD
• Kari Ann Krajewski, PA-C
• Ann Kramer, C.R.N.A
• Jill M Kramer, DDS
• Elena Diaz Krasnoff, NP
• Dylan Kraus, PHARMD
• Michele Krause
• Kathleen Krauss, MD PHD
• Richard Krauss, M.D.
• Monte Kravat, RPH

• General Practice Dentistry in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.