Active NPI
Orville Robert Kruger, D.M.D.
- Dentist
- Union Springs, AL
National Provider Identifier
1033290192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3776
- Practice address
- 113 Conecuh Ave W
Union Springs, AL 36089-1317 - Phone
- (334) 738-5033
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3776 | AL | Primary |
Addresses
Primary practice location
113 Conecuh Ave W
Union Springs, AL 36089-1317
Mailing address
402 Country Club Dr
Union Springs, AL 36089-2208
Phone (334) 738-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160606000447 | AL | Order and Referring Only - Oral Surgery | 0749570604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3776 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033290192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 COUNTRY CLUB DR",
"city": "UNION SPRINGS",
"state": "AL",
"postal_code": "360892208",
"telephone_number": "334-738-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CONECUH AVE W",
"city": "UNION SPRINGS",
"state": "AL",
"postal_code": "360891317",
"telephone_number": "334-738-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "ORVILLE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Springs, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.