Individual provider Active NPI

Dana Krafchick, M.D.

  • Child & Adolescent Psychiatry Physician
  • Centennial, CO
National Provider Identifier
1972631372
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
30975 Issued in CO
Practice address
6851 S Holly Cir Ste 260
Centennial, CO 80112-1050
Phone
(303) 799-4110
Fax
(303) 662-8365
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30975 CO
Child & Adolescent Psychiatry Physician 2084P0804X 30975 CO Primary

Addresses

Primary practice location

6851 S Holly Cir Ste 260
Centennial, CO 80112-1050

Mailing address

9000 E Nichols Ave Ste 240
Centennial, CO 80112-3406
Phone (303) 799-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000551 CO Practitioner - Psychiatry 7618005570 Practice locations: Centennial, CO

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Duke University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7400 E Arapahoe Rd
Suite 304
Centennial, CO 80112-1281
Phone (303) 799-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1972631372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 E NICHOLS AVE STE 240",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123406",
            "telephone_number": "303-799-4110",
            "fax_number": "303-662-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121050",
            "telephone_number": "303-799-4110",
            "fax_number": "303-662-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFCHICK",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "30975",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "30975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.