John Norbert Krupka, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4897 Issued in WI

Practice address

1901 Crooks Ave
Kaukauna, WI 54130-3200

Phone

(920) 766-1122

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 WI

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John N Krupka DDS SC

  dba Krupka Dental Associates

  • Dentist
  • Kaukauna, WI
  • NPI 1609324896
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3214 FEATHER RIDGE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139698",
            "telephone_number": "920-766-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CROOKS AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303200",
            "telephone_number": "920-766-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "JOHN",
        "middle_name": "NORBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaukauna Prescription Center (Consumer Prescription Center)
• Michael Kilgas, DPT
• Lori Deprez King, RN, APNP
• Jennifer Lynn Kitelinger, OTR
• Michele Knapp-Pingel, PTA
• Nichole Rae Leonhardt
• Sabrina Libbin
• Suzanne Marie Linskens, R.N.
• Heather Marie Livingstone, D.C.
• Jennifer A Locke, LPN

• Dentist in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.