Alexander Joseph Krupiak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600904 Issued in MI

Practice address

933 3 Mile Rd NW Ste 110
Grand Rapids, MI 49544-1673

Phone

(616) 784-6300

NPI assigned

May 25, 2021

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1043885726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 DILLON DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483834102",
            "telephone_number": "248-821-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 3 MILE RD NW STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441673",
            "telephone_number": "616-784-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPIAK",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kruithoff, LBSW
• Hailey Kruizenga
• Benjamin James Krull, PT, DPT
• Drew Bennett Krumm, MD
• Megan Krummen, NP
• April Kruse, M.ED., LLPC
• Amber Krusniak, DC
• Tari Kruzel
• Ashleigh Krygsheld, MS, LPC
• Edward Kryshak, MD

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.