Bruce C Krook, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6474 Issued in IA

Practice address

1903 Ep True Pkwy # S-301
West Des Moines, IA 50265-7000

Phone

(515) 224-1618

NPI assigned

Oct 19, 2006

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

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.

• Countryside Dental Care LLC

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1003134776
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114009123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 TURNBERRY DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655243",
            "telephone_number": "515-224-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 EP TRUE PKWY # S-301",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657000",
            "telephone_number": "515-224-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROOK",
        "first_name": "BRUCE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krolak Therapy, PLLC
• Erica A. Krolak, LMHC, NCC
• Brent Kroll
• McKayla Kromrie
• Christina Kroner, CRNA
• Alissa Renae Kruger, ARNP
• Katherine Ann Kruger, RD
• Tyler James Krumsee
• Catherine Kruse
• Kindra Kruse, PHARMD

• General Practice Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.