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

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 and National Provider Directory roles.

• John N Krupka DDS SC

  • 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
• 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.