Jonathan Carl Krogg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023934 Issued in OH

Practice address

2220 Grube St
Springfield, OH 45503-2643

Phone

(937) 390-3050

NPI assigned

May 9, 2013

Last updated

May 9, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Kreider & Krogg DDS Inc

  • Dental Clinic/Center
  • Springfield, OH
  • NPI 1780730580
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1255776878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GRUBE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRUBE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032643",
            "telephone_number": "937-390-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGG",
        "first_name": "JONATHAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jeffery Krofft, PA-C
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Fredrick C Krogg, D.D.S.
• Jon Kronberg, M.D.
• Debra Dianne Kuhn, NP-C
• Kumar Mukerjee MD Inc
• Aryavarta M Kumar, M.D., PH.D.
• Poornima Kumar, PAC

• General Practice Dentistry in Springfield, OH
• Providers in Springfield, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.