Active NPI
Jadwiga Krol, DDS
- Dentist
- Milwaukee, WI
National Provider Identifier
1043491574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4736
- Practice address
- 3380 S Kinnickinnic Ave
Milwaukee, WI 53207-3159 - Phone
- (414) 482-2090
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- 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 | 4736 | WI | Primary |
Addresses
Primary practice location
3380 S Kinnickinnic Ave
Milwaukee, WI 53207-3159
Mailing address
3380 S. Kinnickinnic Ave
Milwaukee, WI 53207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33732000 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4736 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1043491574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 S. KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 S KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073159",
"telephone_number": "414-482-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROL",
"first_name": "JADWIGA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "4736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33732000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.