Anthony Kenneth Kraft, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5712-015 Issued in WI

Practice address

344 E State Highway 54
Suite 1
Seymour, WI 54165-1904

Phone

(920) 833-2215

Fax

(920) 833-9940

NPI assigned

Jul 31, 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

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• General Dentistry of Seymour Inc

  • General Practice Dentistry
  • Seymour, WI
  • NPI 1073618849
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184639585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 GRIGNON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013011",
            "telephone_number": "920-366-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E STATE HIGHWAY 54",
            "address_2": "SUITE 1",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651904",
            "telephone_number": "920-833-2215",
            "fax_number": "920-833-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "ANTHONY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5712-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Home, LTD
• Malina Herber, APNP
• Daria Lillian Heyn, O.T.R.
• Donald Joseph Hoff Jr., DDS
• Alissa A Huff
• Lindsey Kraft, MSW, APSW
• Tanya Louise Krause, FNP
• Heather Lynn Lensmire, NP-C
• Mary Therese Leveille, APNP
• Rachel Ann Loritz, PTA

• General Practice Dentistry in Seymour, WI
• Providers in Seymour, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.