Individual provider Active NPI

Maryann Kriger, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bonita Springs, FL
National Provider Identifier
1154594182
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 16764 Issued in FL
Practice address
27970 Crown Lake Blvd
#2
Bonita Springs, FL 34135-4255
Phone
(239) 947-1235
Fax
(239) 949-2099
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 16764 FL Primary

Addresses

Primary practice location

27970 Crown Lake Blvd
#2
Bonita Springs, FL 34135-4255

Mailing address

27970 Crown Lake Blvd
#2
Bonita Springs, FL 34135-4255
Phone (239) 947-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 16764FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1154594182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27970 CROWN LAKE BLVD",
            "address_2": "#2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354255",
            "telephone_number": "239-947-1235",
            "fax_number": "239-949-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 CROWN LAKE BLVD",
            "address_2": "#2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354255",
            "telephone_number": "239-947-1235",
            "fax_number": "239-949-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGER",
        "first_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 16764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.