Shadi A Krecht, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17687 Issued in FL

Practice address

9389 N Haggerty Rd
Plymouth, MI 48170-4622

Phone

(734) 928-2112

NPI assigned

Apr 2, 2007

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

Locations

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.

• Shadi Krecht DMD PLLC

  • General Practice Dentistry
  • Plymouth, MI
  • NPI 1851003925
  NPD Authorized official
• TDC Boynton Beach, PLLC

  • Dental Clinic/Center
  • Boynton Beach, FL
  • NPI 1316725419
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1174644959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9389 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-928-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9389 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-928-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECHT",
        "first_name": "SHADI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decorntae Kpou
• Patricia Luise Krajovic, MBA
• Brooke Kramer, CCP
• Haylee Kramer
• Andrea Krause
• Samantha Kreinbrink
• Connie Calderon Kretschmer, LMSW
• Busisiwe Krey
• Sari Kripke, MSW
• Kroger Co of Michigan

• General Practice Dentistry in Plymouth, MI
• Providers in Plymouth, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.