Active NPI
L.Kravchuk Dental Corporation
- Dentist
- Citrus Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46850
- Legal business name
- L.KRAVCHUK DENTAL CORPORATION
- Practice address
- 6240 San Juan Ave
Suite#F
Citrus Heights, CA 95610 - Phone
- (916) 727-1107
- NPI assigned
- Apr 22, 2015
- Last updated
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lyudmila Kravchuk, D.D.S
- Title
- D.D.S
- Phone
- (916) 727-1107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46850 | CA | Primary |
Addresses
Primary practice location
6240 San Juan Ave
Suite#F
Citrus Heights, CA 95610
Mailing address
6240 San Juan Ave Ste F
Citrus Heights, CA 95610-5642
Phone (916) 727-1107
National Provider Directory
National Provider DirectoryLocations
6240 San Juan Ave
Citrus Heights, CA 95610
Phone (916) 727-1107
6240 San Juan Ave
Ste F
Citrus Heights, CA 95610
Phone (916) 727-1107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Citrus Heights, CA
- NPI 1932313970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1851788327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 SAN JUAN AVE STE F",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956105642",
"telephone_number": "916-727-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 SAN JUAN AVE",
"address_2": "SUITE#F",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95610",
"telephone_number": "916-727-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L.KRAVCHUK DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "KRAVCHUK",
"authorized_official_first_name": "LYUDMILA",
"authorized_official_title_or_position": "D.D.S",
"authorized_official_telephone_number": "916-727-1107",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "46850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.