Individual provider Active NPI

David Allan Kruse, ND LHIS

  • Hearing Aid Equipment
  • West Fargo, ND
National Provider Identifier
1427265990
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
H0031 Issued in ND
Practice address
205 Sheyenne St
Suite 3
West Fargo, ND 58078-1752
Phone
(701) 281-8137
Fax
(701) 281-8137
NPI assigned
May 16, 2007
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X H0031 ND Primary
Specialist 174400000X H-0031 ND

Addresses

Primary practice location

205 Sheyenne St
Suite 3
West Fargo, ND 58078-1752

Mailing address

205 Sheyenne Street
Suite 3
West Fargo, ND 58078-1752
Phone (701) 281-8137

Other identifiers 1

IdentifierTypeStateIssuer
37G80SHOtherMNMN BLUE CROSSBLUE SHIELD

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
H-0031NDMDSpecialist
H0031NDMDHearing Aid Equipment

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1427265990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE STREET",
            "address_2": "SUITE 3",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-281-8137",
            "fax_number": "701-281-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE ST",
            "address_2": "SUITE 3",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-281-8137",
            "fax_number": "701-281-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "ND LHIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "ND",
            "license": "H0031",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ND",
            "license": "H-0031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSSBLUE SHIELD",
            "identifier": "37G80SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.