Larry P Kravitz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-1-4961 Issued in OH

Practice address

35110 Euclid Ave # 100
Willoughby, OH 44094-4523

Phone

(440) 942-6565

Fax

(440) 942-2114

NPI assigned

Feb 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992849384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE # 100",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-942-6565",
            "fax_number": "440-942-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE # 100",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-942-6565",
            "fax_number": "440-942-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "LARRY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-1-4961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL STATE LICENSE NUMB",
            "identifier": "30-1-14961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Kovach, QMHS, CMS
• Tina Koval, NURSE PRACTITIONER
• Camille Kozlowski, PA-C
• Eileen Krancevic
• Inna Krasnyansky, M.D.
• Jennifer Krieger
• Jennifer L Kriessler, NP
• Robert A Kriessler, OD
• Scott C Kriessler, O.D.
• Margaret Lisa Krob, RN RCP

• General Practice Dentistry in Willoughby, OH
• Providers in Willoughby, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.