Nelson Charles Krum Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

121 Issued in MP

Practice address

Wakins BLDG. 125 Middle Rd. Gualo Rai
Saipan, MP 96950

Phone

(670) 234-4040

Fax

(670) 488-1044

NPI assigned

Aug 2, 2005

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paradise Dental Services, Inc.

  • Dental Clinic/Center
  • Saipan, MP
  • NPI 1265056881
  NPD Authorized official
• Perfect Teeth - Union & Academy P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1528189925
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1316948136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-260-6093",
            "fax_number": "719-260-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKINS BLDG. 125 MIDDLE RD. GUALO RAI",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-234-4040",
            "fax_number": "670-488-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUM",
        "first_name": "NELSON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "4499",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MP",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dohyun Kim, PA-C
• Jihyun Kim
• Muhamet Kivilcim
• Rodney Hugh Klassen, M.D.
• Jiayi Kong, MD
• Oh Ock Kwon, D.D.S.
• Laura Kyonka
• Susan Mae Laidlaw, MD
• LCS-Cnmi, Inc.
• Nicole Leblanc, PT

• General Practice Dentistry in Saipan, MP
• Providers in Saipan, MP by specialty
• General Practice Dentistry in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.