DR. JACK ISSAC KRAJEKIAN D.M.D.
NPI 1790768562
Dentist - Oral and Maxillofacial Surgery in Charleston, WV

Active since November 25, 2005
1215 VIRGINIA ST E, CHARLESTON, WV 25301(304) 345-1092(304) 345-1095 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Issac Krajekian D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK ISSAC KRAJEKIAN D.M.D. (NPI 1790768562) is an individual oral and maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (116) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1790768562
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JACK ISSAC KRAJEKIANCredential: D.M.D.
Location Address1215 VIRGINIA ST ECharleston, WV 25301-2908
Mailing Address1215 Virginia St ECharleston, WV 25301-2908 · (304) 345-1092 · Fax (304) 345-1095
Fax(304) 345-1095
Sole ProprietorNo
Enumeration DateNovember 25, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1790768562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WV · 116 Licensed in WV · 3542 Licensed in PA · DS036241 Licensed in MA · 19714
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1215 VIRGINIA ST E, Charleston, WV 25301

Other Identifiers 4

Medicare ID-Type UnspecifiedKR4092212WV
Medicare UPINU91934WV
Medicare ID-Type UnspecifiedKR4092211WV
Medicaid4002152000WV

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1215 VIRGINIA ST E
CHARLESTON, WV 25301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Krajekian's NPI number?

The NPI number for Jack Krajekian is 1790768562. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Jack Krajekian located?

Jack Krajekian practices at 1215 Virginia St E, Charleston, WV 25301. The listed phone number is (304) 345-1092.

What is Jack Krajekian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jack Krajekian accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jack Krajekian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Krajekian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.