Joseph Thomas Krutsick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-023786-L Issued in PA

Practice address

3004 William Penn Hwy
Easton, PA 18045-5214

Phone

(610) 252-1442

Fax

(610) 252-8709

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 20, 2015 through Jun 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427187855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455214",
            "telephone_number": "610-252-1442",
            "fax_number": "610-252-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455214",
            "telephone_number": "610-252-1442",
            "fax_number": "610-252-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTSICK",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023786-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennah Lynn Krause, DO
• Mahesh Krishnamurthy, MD
• Vishal Krishnan
• Susan Kruk, LCSW
• Brooke D Kruman, OD
• Jyothi B Kudakandira, M.D
• Christopher Stuart Kulp
• Bethanie Jones Kuna, PA-C
• Danielle Elizabeth Kunkle-Carty, M.S. CCC
• Jaymee-Leigh Kunsman Lister, MA, LACP

• General Practice Dentistry in Easton, PA
• Providers in Easton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.