Active NPI
John Kramer, D.D.S.
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1326447806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00202739
- Practice address
- 9290 Highland Ridge HTS Ste 120
Colorado Springs, CO 80920-1079 - Phone
- (719) 266-9000
- NPI assigned
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00202739 | CO | Primary |
Addresses
Primary practice location
9290 Highland Ridge HTS Ste 120
Colorado Springs, CO 80920-1079
Mailing address
9290 Highland Ridge HTS Ste 120
Colorado Springs, CO 80920-1079
Phone (719) 266-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026000924 | CO | Order and Referring Only - Other (Physician) | 0749568749 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202739 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kramer Dentistry Inc | Current | Accepting new patients | |
| Bright Dentistry Roundhouse Inc | General Practice | Current | Accepting new patients |
Locations
9290 Highland Ridge Hts
Ste 120
Colorado Springs, CO 80920
Phone (719) 266-9000
600 S 21st St
Unit 120
Colorado Springs, CO 80904
Phone (719) 266-9000
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1053003376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1326447806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9290 HIGHLAND RIDGE HTS STE 120",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201079",
"telephone_number": "719-266-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 HIGHLAND RIDGE HTS STE 120",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201079",
"telephone_number": "719-266-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "JOHN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00202739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.