Robert a. Krueger, D.D.S., LTD.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1913744 Issued in IL

Legal business name

ROBERT A. KRUEGER, D.D.S., LTD.

Practice address

1515 W Walnut St
#8
Jacksonville, IL 62650-1150

Phone

(217) 245-6400

Fax

(217) 245-7327

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Krueger, D.D.S., M.S.D.NPI 1972691731

Title

Orthodontist

Phone

(217) 245-6400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Krueger, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, IL
  • NPI 1972691731
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295952422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W WALNUT ST",
            "address_2": "#8",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501150",
            "telephone_number": "217-245-6400",
            "fax_number": "217-245-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W WALNUT ST",
            "address_2": "#8",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501150",
            "telephone_number": "217-245-6400",
            "fax_number": "217-245-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. KRUEGER, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "217-245-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "1913744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas K Reese, DC
• Regional Orthopaedics & Sports Medicine Center, LTD.
• Shelley L Reither, LCPC
• Responsive Home Health Care Inc
• Treena M Roads, MSW
• Sheryl S Roberts, MS CCC-SLP
• Andrea Rollins, LPC
• Ronald R Lynch DMD LTD
• Sean Paul Rondeau, D.C.
• Peter Roodhouse, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.