Individual provider Active NPI

Nathaniel J Kronenwetter, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Akron, OH
National Provider Identifier
1043673122
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.026814 Issued in OH
Practice address
539 White Pond Dr Ste C
Akron, OH 44320-1123
Phone
(330) 836-2882
Fax
(330) 836-6085
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.026814 OH Primary

Addresses

Primary practice location

539 White Pond Dr Ste C
Akron, OH 44320-1123

Mailing address

2681 Derbyshire Rd
Cleveland Heights, OH 44106-3342
Phone (570) 854-9370

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30.026814OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Oral & Maxillofacial Surgery Group Oral and Maxillofacial Surgery CurrentSince Nov 30, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1043673122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 DERBYSHIRE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063342",
            "telephone_number": "570-854-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 WHITE POND DR STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201123",
            "telephone_number": "330-836-2882",
            "fax_number": "330-836-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENWETTER",
        "first_name": "NATHANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.026814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.