Andrew Fredrick Kragor, D.D.S., M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN014936 Issued in GA

Practice address

1816 Eagle Dr Ste 100-B
Woodstock, GA 30189-8273

Phone

(770) 485-8827

NPI assigned

Jun 29, 2012

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kragor Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodstock, GA
  • NPI 1306203427
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1184988578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR STE 100-B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898273",
            "telephone_number": "770-485-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR STE 100-B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898273",
            "telephone_number": "770-485-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAGOR",
        "first_name": "ANDREW",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020636",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Kohrmann
• Jihyun Koo, M.D.
• Marc Joel Kornfield, M.D.
• Anastasiia Korovina, MA, BCBA
• Kragor Orthodontics LLC
• Morgan Dayne Kraut
• Kroll Care, PC
• Katherine Kudla, M.A., CCC-SLP
• Serena Kumar, MSN, ANP-BC
• Robert Anthony Kuprionas, D.P.M.

• Dentist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.