NPIMap

Organization Active NPI

Dr Bernard Krupp, DDS, Oms, PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Towson, MD
National Provider Identifier
1023001641
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DR BERNARD KRUPP, DDS, OMS, PA
Practice address
1220B E Joppa Rd
Ste 314
Towson, MD 21286-5813
Phone
(410) 583-7600
Fax
(410) 583-9669
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bernard Ian Krupp, DDSNPI 1114910668
Title
Oms/Owner
Phone
(410) 583-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

1220B E Joppa Rd
Ste 314
Towson, MD 21286-5813

Mailing address

1220B E Joppa Rd
Ste 314
Towson, MD 21286-5813
Phone (410) 583-7600

Other identifiers 1

IdentifierTypeStateIssuer
029693700MedicaidMD

Other names 1

  • Leonard Spector, DDS and Bernard Ian Krupp, DDS, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

1220B E Joppa Rd
Ste 314
Towson, MD 21286
Phone (410) 583-7600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1023001641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "address_2": "STE 314",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-583-7600",
            "fax_number": "410-583-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "address_2": "STE 314",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-583-7600",
            "fax_number": "410-583-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BERNARD KRUPP, DDS, OMS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "KRUPP",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OMS/OWNER",
        "authorized_official_telephone_number": "410-583-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029693700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonard Spector, DDS and Bernard Ian Krupp, DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.