Individual provider Active NPI

Bernard Ian Krupp, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Towson, MD
National Provider Identifier
1114910668
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7754 Issued in MD
Practice address
1220B E Joppa Rd
Suite 314
Towson, MD 21286-5813
Phone
(410) 583-7600
Fax
(410) 583-9669
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7754 MD Primary

Addresses

Primary practice location

1220B E Joppa Rd
Suite 314
Towson, MD 21286-5813

Mailing address

1220B E Joppa Rd
Suite 314
Towson, MD 21286-5813
Phone (410) 583-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2012 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7754MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bernard Krupp, DDS, Oms, PA Current Accepting new patients

Locations

1220B E Joppa Rd
Ste 314
Towson, MD 21286
Phone (410) 583-7600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114910668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "address_2": "SUITE 314",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-583-7600",
            "fax_number": "410-583-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "address_2": "SUITE 314",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-583-7600",
            "fax_number": "410-583-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "BERNARD",
        "middle_name": "IAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.