Individual provider Active NPI

Kurt M Krause, D.M.D.

  • General Practice Dentistry
  • Cranford, NJ
National Provider Identifier
1396893558
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02205200 Issued in NJ
Practice address
118 North Ave W
Suite 101
Cranford, NJ 07016-5117
Phone
(908) 272-3001
Fax
(908) 272-3077
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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 22DI02205200 NJ Primary

Addresses

Primary practice location

118 North Ave W
Suite 101
Cranford, NJ 07016-5117

Mailing address

118 North Ave W
Suite 101
Cranford, NJ 07016-5117
Phone (908) 272-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160217000176 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638474497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1396893558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE W",
            "address_2": "SUITE 101",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070165117",
            "telephone_number": "908-272-3001",
            "fax_number": "908-272-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTH AVE W",
            "address_2": "SUITE 101",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070165117",
            "telephone_number": "908-272-3001",
            "fax_number": "908-272-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "KURT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02205200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.