Organization Active NPI

L.Kravchuk Dental Corporation

  • Dentist
  • Citrus Heights, CA
National Provider Identifier
1851788327
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46850 Issued in CA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Lyudmila Kravchuk, D.D.SNPI 1932313970
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.