David B. Krill,D.M.D.,Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16364 Issued in OH

Legal business name

DAVID B. KRILL,D.M.D.,INC.

Practice address

10475 Montgomery Rd Ste 1H
Cincinnati, OH 45242-5200

Phone

(513) 891-3933

Fax

(513) 891-5979

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Bradley Krill, D.M.D.

Title

President Owner

Phone

(513) 891-3933

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davd Bradley Krill, D.M.D.

  • Periodontics
  • Cincinnati, OH
  • NPI 1811095276
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417055799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD STE 1H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425200",
            "telephone_number": "513-891-3933",
            "fax_number": "513-891-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD STE 1H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425200",
            "telephone_number": "513-891-3933",
            "fax_number": "513-891-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. KRILL,D.M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "513-891-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "16364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.