Brendan Krueger, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601454 Issued in MI

Practice address

28535 Orchard Lake Rd Ste 400
Farmington Hills, MI 48334-2918

Phone

(248) 848-1126

NPI assigned

Jan 24, 2023

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

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.

• Desai Dental Spa, PC

  • Dentist
  • Farmington Hills, MI
  • NPI 1932643111
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1164138160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28535 ORCHARD LAKE RD STE 400",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342918",
            "telephone_number": "248-848-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28535 ORCHARD LAKE RD STE 400",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342918",
            "telephone_number": "248-848-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Krom
• Benesa Kromah
• Mohamed Kromah
• Brianna Krontz
• Kellee Krouse
• Jeremy Krumholt, MD
• Carolyn Krupp
• Christina Kruse
• Kiersten Kruse
• John Paul Kruszewski, DO

• Dentist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.