Frank J Kratochvil III, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D7231 Issued in OR

Practice address

12254 SW Garden PL
Tigard, OR 97223-8246

Phone

(503) 906-7300

Fax

(503) 245-8219

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 16, 2015 through Nov 16, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Cta Oral Pathology Consultants of Michigan, PLLC

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1366244550
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1972564847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230457",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972810457",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12254 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238246",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATOCHVIL",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D7231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Leanore Kost
• Phillip Kotlyarevskiy, PHARM D
• Ashley Koulax
• Sara Kowalczyk, OTR/L, OTD, MHA
• Patricia Kozak, OD
• Wiliam D Kreml
• Ivan Matthew Kristensen
• Kristin DO, PSYD, LLC
• Crystal Dewi Roslina Kriswandi, DMD
• Andrea Kroese, QMHP

• Oral and Maxillofacial Surgery (Dentist) in Tigard, OR
• Providers in Tigard, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.