Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack Issac Krajekian, D.M.D.

Oral and Maxillofacial Surgery (Dentist) in Charleston, WV · enumerated 2005 · practices at Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790768562

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Registry record

Entity type Individual (Type 1)

Name Dr. Jack Issac Krajekian

Credential D.M.D.

Sex Male

Practice address 1215 Virginia St E, Charleston, WV, 25301

Phone (304) 345-1092

Fax (304) 345-1095

Enumeration date Nov 25, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 3542 (WV) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 116 (WV) Primary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License DS036241 (PA) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 19714 (MA) Secondary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier	Type	State	Issuer
4002152000	Medicaid	WV	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jack Krajekian's NPI record?

Cross-check NPI 1790768562 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1790768562 active?

Yes, as of the latest NPPES snapshot, NPI 1790768562 is active (record last updated 2007-07-08).

Other providers at this practice address

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Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc Oral and Maxillofacial Surgery (Dentist) · Charleston, WV NPI 1346201183 Italo Di Prisco Oral and Maxillofacial Surgery (Dentist) · Charleston, WV NPI 1871807875

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.