Kenneth E Kram, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13560 Issued in MO

Practice address

456 N New Ballas Rd Ste 249
Creve Coeur, MO 63141-6842

Phone

(314) 569-2201

Fax

(314) 569-2320

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 2, 2015 through Jul 2, 2027

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.

• Oral and Maxillofacial Surgeons Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Creve Coeur, MO
  • NPI 1205946787
  NPD (past) Authorized official
• William a. Gray, D.M.D., LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1336365956
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1144386004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 249",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-2201",
            "fax_number": "314-569-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 249",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416842",
            "telephone_number": "314-569-2201",
            "fax_number": "314-569-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAM",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "13560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "111520",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29086",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micayla Koonce
• Erica Korte, PHARMD
• William Chris Kostman, M.D.
• Sarah Kovatovich, LPC
• Shannon Elizabeth Krakowski, MOTR/L
• Christine Louise Krieger, R.N, M.S.N., J.D.
• Van Schaumburg Krueger, MD, MBA
• Paige Krupinski
• Kumar Rehab Associates PC
• Drupadi Kumar, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.