David Kraayenbrink, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DR60468172 Issued in WA

Practice address

U of Washington Department of Oral Surgery
1959 NE Pacific Street; Box 357134
Seattle, WA 98195-0001

Phone

(360) 318-4501

NPI assigned

Mar 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• David Kraayenbrink DDS, PLLC

  • Dental Clinic/Center
  • Snohomish, WA
  • NPI 1861330060
  NPD Authorized official

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1861817793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U OF WASHINGTON DEPARTMENT OF ORAL SURGERY",
            "address_2": "1959 NE PACIFIC STREET; BOX 357134",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U OF WASHINGTON DEPARTMENT OF ORAL SURGERY",
            "address_2": "1959 NE PACIFIC STREET; BOX 357134",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "360-318-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAAYENBRINK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR60468172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KP Pharmacy & Medical Supplies LLC
• KP Pharmacy PLLC
• Francina Nelly Kraak, LMP
• Eva Kraakmo, DPT
• Kraamzorg Northwest
• Brian J Krabak, M.D. MBA
• Kimberly A. Krabill, MD
• Elizabeth Ann Kracen, M.D.
• Diana Abson Kraemer, MD
• Mark Richard Kraemer, MD

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.