Individual provider Active NPI

William Kreul, DDS

  • Dentist
  • Baltimore, MD
National Provider Identifier
1285734731
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6158 Issued in MD
Practice address
8109 Harford Road
Suite D
Baltimore, MD 21234
Phone
(410) 665-0877
Fax
(410) 665-7064
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07526 MD
Dentist 122300000X 6158 MD Primary

Addresses

Primary practice location

8109 Harford Road
Suite D
Baltimore, MD 21234

Mailing address

2600 Jerald Dr
Baltimore, MD 21234-5512
Phone (410) 668-8646

Other identifiers 1

IdentifierTypeStateIssuer
3928OtherMDBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. William Anthony Kreul Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160308000116 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3476859133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6158MDMDDentist
07526MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1285734731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JERALD DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345512",
            "telephone_number": "410-668-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HARFORD ROAD",
            "address_2": "SUITE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-0877",
            "fax_number": "410-665-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUL",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "07526",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "6158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3928",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "KREUL",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.