Active NPI
Connie Krueger, RDH
- Dental Hygienist
- Rochester, MN
National Provider Identifier
1235451816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7374
- Practice address
- 120 North Broadway, NE
Suite B
Rochester, MN 55906 - Phone
- (507) 424-4199
- Fax
- (507) 529-4101
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7374 | MN | Primary |
Addresses
Primary practice location
120 North Broadway, NE
Suite B
Rochester, MN 55906
Mailing address
120 North Broadway NE
Suite B
Rochester, MN 55906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7374 | MN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Salvation Army | Past | Accepting new patients |
Organizations & group practices 1
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 Practice Dentistry
- Rochester, MN
- NPI 1093882656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1235451816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NORTH BROADWAY NE",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NORTH BROADWAY, NE",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55906",
"telephone_number": "507-424-4199",
"fax_number": "507-529-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "CONNIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H7374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.