Active NPI
William L. Krieg, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- St Clair Shores, MI
National Provider Identifier
1003894577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 012879
- Practice address
- 22006 Greater Mack Ave
St Clair Shores, MI 48080-2307 - Phone
- (586) 772-6090
- Fax
- (586) 772-0621
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 012879 | MI | Primary |
Addresses
Primary practice location
22006 Greater Mack Ave
St Clair Shores, MI 48080-2307
Mailing address
22006 Greater Mack Ave
St Clair Shores, MI 48080-2307
Phone (586) 772-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012879 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakepointe Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Clair Shores, MI
- NPI 1598034829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003894577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22006 GREATER MACK AVE",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480802307",
"telephone_number": "586-772-6090",
"fax_number": "586-772-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22006 GREATER MACK AVE",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480802307",
"telephone_number": "586-772-6090",
"fax_number": "586-772-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "WILLIAM",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "012879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.