Mark A Kramer, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

012914 Issued in MO

Practice address

1338 Big Bend Square Shopping Center
Ballwin, MO 63021-7618

Phone

(636) 225-3900

Fax

(636) 225-3945

NPI assigned

Oct 19, 2005

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

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • Ballwin, MO
  • NPI 1801016126
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1225027576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 BIG BEND SQUARE SHOPPING CENTER",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217618",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 BIG BEND SQUARE SHOPPING CENTER",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217618",
            "telephone_number": "636-225-3900",
            "fax_number": "636-225-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12914",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "012914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan J Koopman, DPT
• Brooke Korhammer, DC
• Melanie Kornblum, OTR/L
• Esther Leni Kraai, DC,RN
• Erin Marie Kramer, FNP-C
• Allyson Kranz, SLP
• Cynthia R. Krinochkin, PA
• Sara L Kuanfung, P.T, LMT
• Slava Kunin, PHARM.D.
• Jody L Kyle, BCBA, LBA

• Dentist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.