Individual provider Active NPI

Danny Kroeze

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1336522978
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
457‐SLP Issued in SD
Practice address
2115 S Pendar LN
Sioux Falls, SD 57105-3944
Phone
(605) 359-3842
Fax
(605) 339-1239
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 457‐SLP SD Primary

Addresses

Primary practice location

2115 S Pendar LN
Sioux Falls, SD 57105-3944

Mailing address

401 S Phillips Ave
Apt. 2
Sioux Falls, SD 57104-6853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
457‐SLPSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theratime Inc Speech-Language Pathologist 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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1336522978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S PHILLIPS AVE",
            "address_2": "APT. 2",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S PENDAR LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053944",
            "telephone_number": "605-359-3842",
            "fax_number": "605-339-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEZE",
        "first_name": "DANNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "457‐SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.