NPIMap

Organization Active NPI

Richard T. Krueger Et Al PTNR

Doing business as Chappell Dental Clinic

  • General Practice Dentistry
  • Chappell, NE
National Provider Identifier
1245504786
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4756 Issued in NE
Legal business name
RICHARD T. KRUEGER ET AL PTNR
Doing business as
Chappell Dental Clinic
Practice address
246 Vincent Ave
Chappell, NE 69129-9701
Phone
(308) 874-2910
Fax
(308) 874-2459
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Tom Krueger
Title
Dentist
Phone
(308) 874-2910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4756 NE Primary
General Practice Dentistry 1223G0001X 4753 NE

Addresses

Primary practice location

246 Vincent Ave
Chappell, NE 69129-9701

Mailing address

PO Box 468
Chappell, NE 69129-0468
Phone (308) 874-2910

Other names 1

  • Chappell Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1245504786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "CHAPPELL",
            "state": "NE",
            "postal_code": "691290468",
            "telephone_number": "308-874-2910",
            "fax_number": "308-874-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 VINCENT AVE",
            "city": "CHAPPELL",
            "state": "NE",
            "postal_code": "691299701",
            "telephone_number": "308-874-2910",
            "fax_number": "308-874-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T. KRUEGER ET AL PTNR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "308-874-2910",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4756",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chappell Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chappell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.