Organization Active NPI

Roy Krengel II PA

Doing business as Krengel Dental

  • Dental Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1225769102
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROY KRENGEL II PA
Doing business as
Krengel Dental
Practice address
5020 Minnetonka Blvd
St Louis Park, MN 55416-2255
Phone
(952) 926-2705
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Roy Krengel, DDSNPI 1609006824
Title
Owner Dentist
Phone
(952) 926-2705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5020 Minnetonka Blvd
St Louis Park, MN 55416-2255

Mailing address

5020 Minnetonka Blvd
St Louis Park, MN 55416-2255
Phone (952) 926-2705

Other practice location 1

2105 W 80 1/2 St
Bloomington, MN 55431-1492
Phone (952) 888-1311

Other identifiers 1

IdentifierTypeStateIssuer
5020OtherUNKNOWN

Other names 1

  • Krengel Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krengeldentalSLP@krengeldental.com Direct

National Provider Directory

National Provider Directory

Locations

5020 Minnetonka Blvd
St Louis Park, MN 55416
Phone (952) 285-1677

Interoperability endpoints

  • Direct secure messaging: krengeldentalslp@krengeldental.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1225769102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 MINNETONKA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162255",
            "telephone_number": "952-926-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 MINNETONKA BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162255",
            "telephone_number": "952-926-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 W 80 1/2 St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311492",
            "country_code": "US",
            "telephone_number": "952-888-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROY KRENGEL II PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "KRENGEL",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "952-926-2705",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "5020",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krengeldentalSLP@krengeldental.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5020 Minnetonka Blvd",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554162255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Krengel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.