Richard D Kruer Jr., DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18589 Issued in OH

Practice address

2300 Wayne Memorial Dr Ste G
Goldsboro, NC 27534-1747

Phone

(919) 581-9770

NPI assigned

Apr 26, 2006

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 16, 2018 through Nov 16, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandon D Kofford DMD and Uday N Reebye DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cary, NC
  • NPI 1285228908
  NPD (past)
• Reebye Park & Richman DDS PLC

  dba Triangle Implant Center Goldsboro

  • Oral and Maxillofacial Surgery (Dentist)
  • Goldsboro, NC
  • NPI 1376963439
  NPD (past)
• Reebye Park & Richman DDS PLC

  dba Triangle Implant Center Wilson

  • Dentist
  • Wilson, NC
  • NPI 1669892725

  Oral and Maxillofacial Surgery

  NPD (past)
• Reebye, Park & Richman DDS PLC

  dba Triangle Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Durham, NC
  • NPI 1639450869
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1023075942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PATERSON PL",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751942",
            "telephone_number": "859-781-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR STE G",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341747",
            "telephone_number": "919-581-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E McMillan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192606",
            "country_code": "US",
            "telephone_number": "513-721-2444",
            "fax_number": "513-721-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUER",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "18589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Kraft, MD
• Kimberly Starling Krentz, RPH
• Hiremagalur N Krishnaprasad, M.D.
• Muthaiya Pillai Krishnaraj, M.D.
• Joseph Stephen Krobock, DMD
• Amy Krutsch, FNP
• John Paul Kumhyr, PA
• Kyle J Roth III DDS PA (carolina Denta Arts of Goldsboro)
• Kyle Roth and Associates VI, DDS, PA (Goldsboro Dental Arts)
• Laboratory Corporation of America Holdings

• Oral and Maxillofacial Surgery (Dentist) in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.