Dr Eugene M Kruysman

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1624 Issued in NH

Legal business name

DR EUGENE M KRUYSMAN

Practice address

301 Pleasant St
Berlin, NH 03570-2046

Phone

(603) 752-2013

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene M Kruysman, DMDNPI 1902906613

Title

Owner

Phone

(603) 752-2013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene M Kruysman, DMD

  • General Practice Dentistry
  • Berlin, NH
  • NPI 1902906613
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1083884076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702046",
            "telephone_number": "603-752-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702046",
            "telephone_number": "603-752-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EUGENE M KRUYSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KRUYSMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-752-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "1624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30314193",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kexin Ding, DDS
• Roxanne Dodge, LMHC
• Kristina Donoho, NURSE PRACTITIONER
• Stephanie W Doster, OTR/L
• Mary Lou Douin
• Stephen Anthony Druke, DC
• Kelly Marie Dube, BS
• Lisa Duchesne, MS, OTR/L
• Amanda Dustin, APRN
• Nicole Eastman

• Dental Clinic/Center in Berlin, NH
• Providers in Berlin, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.