Individual provider Active NPI

John Kramer, D.D.S.

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1326447806
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00202739 Issued in CO
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

Updated by the provider on Jan 7, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000924 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0749568749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202739COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Dentistry Inc CurrentSince Jan 12, 2020 Accepting new patients
Bright Dentistry Roundhouse Inc General Practice CurrentSince May 28, 2023 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.

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

Verify at the official NPI Registry.