Individual provider Active NPI

Amy Katherine Krause, DMD

  • General Practice Dentistry
  • Warren, OH
National Provider Identifier
1295965184
Registry record updated Jul 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20511 Issued in OH
Practice address
8401 Howland Springs Rd SE
Warren, OH 44484-3120
Phone
(330) 856-2177
NPI assigned
Jul 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20511 OH Primary

Addresses

Primary practice location

8401 Howland Springs Rd SE
Warren, OH 44484-3120

Mailing address

8401 Howland Springs Rd SE
Warren, OH 44484-3120
Phone (330) 856-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150624001623 OH Order and Referring Only - DentistPractitioner - Dentist 1658682182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20511OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wilson and Dr Krause, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1295965184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HOWLAND SPRINGS RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843120",
            "telephone_number": "330-856-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HOWLAND SPRINGS RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843120",
            "telephone_number": "330-856-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.