Dr Krivarchka DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR KRIVARCHKA DDS

Practice address

213 4TH Ave
Enderlin, ND 58027-1306

Phone

(701) 437-2676

NPI assigned

May 19, 2014

Organization subpart

No

Name

Dr. Duane Krivarchka

Title

Dentist/Owner

Phone

(701) 437-2676

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2014.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1982015483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 4TH AVE",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271306",
            "telephone_number": "701-437-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 4TH AVE",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271306",
            "telephone_number": "701-437-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRIVARCHKA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KRIVARCHKA",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "701-437-2676",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40796",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Ryan Dahl, DDS, PC
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• Nichole Lynn Francis
• Anna Paige Fuka, PA-C

• All providers in Enderlin, ND
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.