Active NPI
Charles David Krill, D.D.S.
- General Practice Dentistry
- Paso Robles, CA
National Provider Identifier
1467541326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23334
- Practice address
- 1920 Creston Rd Ste B
Paso Robles, CA 93446-4462 - Phone
- (805) 239-2146
- Fax
- (805) 239-9097
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23334 | CA | Primary |
Addresses
Primary practice location
1920 Creston Rd Ste B
Paso Robles, CA 93446-4462
Mailing address
1920 Creston Rd Ste B
Paso Robles, CA 93446-4462
Phone (805) 239-2146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B23334-03 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23334 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turton Dental Group, Inc. | 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.
-
- Dentist
- Paso Robles, CA
- NPI 1922709443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467541326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 CRESTON RD STE B",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934464462",
"telephone_number": "805-239-2146",
"fax_number": "805-239-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 CRESTON RD STE B",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934464462",
"telephone_number": "805-239-2146",
"fax_number": "805-239-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRILL",
"first_name": "CHARLES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B23334-03",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.