DR. JAN KRASKA (NPI# 1669653879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669653879 |
| Entity Type | Individual |
| Full Name | DR. JAN KRASKA |
| Credential | D.D.S. |
| Practice Address |
502 N Elam Ave Greensboro NC 27403-1127 |
| Practice Telephone | 3362920863 |
| Mailing Telephone | 3362920863 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4505 | NC | Dental Providers |
| Street Address |
502 N ELAM AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760663074 | Ryan Charles Kraska | Dentist | 502 N Elam Ave, Greensboro, NC 27403-1127 | 2007-11-15 |
| 1184920696 | Ryan C Kraska, Dds Pllc | Clinic/Center | 502 N Elam Ave, Greensboro, NC 27403-1127 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1013432889 | Dominick Joseph Grillo | Dentist | 2733 Horse Pen Creek Rd Ste 107, Greensboro, NC 27410-8538 | 2017-08-13 |
| 1821544172 | Justin Mckinlay | Dentist | 3501 Associate Dr, Greensboro, NC 27405-3879 | 2016-08-28 |
| 1629483425 | Bhavna T Pahel | Dentist | 510 Hickory Ridge Dr, Greensboro, NC 27409-9779 | 2014-07-01 |
| 1457671786 | Chavala Melita Harris | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2010-06-09 |
| 1801028436 | Eric Van Lilly | Dentist | 1108 Country Club Dr, Greensboro, NC 27408-6318 | 2009-08-16 |
| 1477783728 | Thomas J Bagley | Dentist | 2729 Horse Pen Creek Rd, Suite 103, Greensboro, NC 27410-8395 | 2009-07-21 |
| 1952551889 | Michael Lee Collins | Dentist | 5304 Guida Drive, Greensboro, NC 27410 | 2008-09-29 |
| 1376713149 | Homer Clark Bell IIi | Dentist | 1601 West Cornwallis Drive, Greensboro, NC 27408 | 2008-03-07 |
| 1760663074 | Ryan Charles Kraska | Dentist | 502 N Elam Ave, Greensboro, NC 27403-1127 | 2007-11-15 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.