Active NPI
Paul W Kroger, DMD MSN
- Periodontics
- Troy, OH
National Provider Identifier
1265520118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16365
- Practice address
- 1569 McKaig Avenue
Troy, OH 45373 - Phone
- (937) 335-5050
- Fax
- (937) 335-2248
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16365 | OH | Primary |
Addresses
Primary practice location
1569 McKaig Avenue
Troy, OH 45373
Mailing address
1569 McKaig Avenue
Troy, OH 45373
Phone (937) 335-5050
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16365 | OH | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griselle Ortiz-Ramsey DMD and Associates | Periodontics | 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.
-
- Periodontics
- Troy, OH
- NPI 1831545854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265520118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 MCKAIG AVENUE",
"city": "TROY",
"state": "OH",
"postal_code": "45373",
"telephone_number": "937-335-5050",
"fax_number": "937-335-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 MCKAIG AVENUE",
"city": "TROY",
"state": "OH",
"postal_code": "45373",
"telephone_number": "937-335-5050",
"fax_number": "937-335-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROGER",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "16365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.