Michael Alex Krupka, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3202 Issued in AR

Practice address

3207 Arapaho Dr
Rogers, AR 72758-1363

Phone

(479) 621-9700

Fax

(479) 621-6166

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• All About Smiles

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1932269628
  NPD (past) Authorized official
• Cotham Dental Group PC

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1265962997
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1053533968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 ARAPAHO DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581363",
            "telephone_number": "479-621-9700",
            "fax_number": "479-621-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 ARAPAHO DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581363",
            "telephone_number": "479-621-9700",
            "fax_number": "479-621-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "MICHAEL",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Krauft, ED.D
• Emily Susan Kriehn, LCSW
• Kristin Bailey Therapy LLC
• Natalie Mills Krodell, NURSE PRACTITIONER
• Kelly Ross Krout, LCSW
• Marisa Kate Kuhn, RBT
• Kiran Ram Kurichety, MD
• Ashlee Kutscherousky
• Joshua Kwitschau
• Joseph Kwo, MHPP

• General Practice Dentistry in Rogers, AR
• Providers in Rogers, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.