DR. ROBERT KRACHENFELS (NPI# 1205285459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205285459 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KRACHENFELS |
| Credential | DMD |
| Practice Address |
107 W Robertson St Brandon FL 33511-5111 |
| Mailing Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 8135344607 |
| Mailing Telephone | 7189204321 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN22470 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
107 W ROBERTSON ST |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518011386 | Express Care of Tampa Bay, Inc | Internal Medicine | 107 W Robertson St, Brandon, FL 33511-5111 | 2007-01-22 |
| 1265968135 | Ruben Viloria | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2017-05-11 |
| 1104268341 | Family Medical Express and Riverview Pediatrics | Pediatrics | 107 W Robertson St, Brandon, FL 33511-5111 | 2013-07-29 |
| 1790060366 | Premium Health Services of Tampa | Clinic/Center | 107 W Robertson St, Brandon, FL 33511-5111 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244702 | Pediatric Dental Center | Dentist | 517 Corner Drive, Brandon, FL 33511-5718 | 2012-04-16 |
| 1720213788 | Fesmire Dental Pllc | Dentist | 101 Avalon Ct, Suite C, Brandon, MS 39047-7641 | 2009-05-20 |
| 1235339284 | Wren Pediatric Dentistry, Pllc | Dentist | 1390 W Government St, Suite B, Brandon, MS 39042-3272 | 2007-07-18 |
| 1184822629 | Jorge Orlando Torres Guzman | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2007-07-06 |
| 1740308733 | Joshua Wren | Dentist | 1390 W. Government Street, Suite B, Brandon, MS 39042 | 2007-03-27 |
| 1003930579 | William Edward Gonzalez | Dentist | 517 Corner St, Brandon, FL 33511-5718 | 2007-03-19 |
| 1174608368 | Henry William Cook | Dentist | 142 Gateway Dr, Brandon, MS 39042-3085 | 2006-10-26 |
| 1346335486 | Billy P Edgar | Dentist | 101 Avalon Court, Suite C, Brandon, MS 39047-7641 | 2006-10-04 |
| 1477971919 | Priyanka Iyer | Dentist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2014-04-02 |
| 1285060905 | Lyda Maria Lopez | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2013-09-26 |
| Find all providers in BRANDON | ||||
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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.