Active NPI
Kendall L. Krug, OD PA
- Optometrist
- Hays, KS
National Provider Identifier
1104811025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KENDALL L. KRUG, OD PA
- Practice address
- 2203 Canterbury Dr
Hays, KS 67601-2341 - Phone
- (785) 625-3937
- Fax
- (785) 625-7490
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kendall L Krug, O.D.
- Title
- Owner/Optometrist
- Phone
- (785) 625-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2203 Canterbury Dr
Hays, KS 67601-2341
Mailing address
2203 Canterbury Dr
Hays, KS 67601-2341
Phone (785) 625-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650558 | Other | KS | BLUECROSSBLUESHIELD |
| DC3867 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2203 Canterbury Dr
Hays, KS 67601
Phone (785) 625-3937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Goodland, KS
- NPI 1144295031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226275200000",
"number": "1104811025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012341",
"telephone_number": "785-625-3937",
"fax_number": "785-625-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012341",
"telephone_number": "785-625-3937",
"fax_number": "785-625-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENDALL L. KRUG, OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2008-11-10",
"status": "A",
"authorized_official_last_name": "KRUG",
"authorized_official_first_name": "KENDALL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "785-625-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "650558",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC3867",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.