Active NPI
Jeffrey B Krutoy, DDS,MD
- Oral and Maxillofacial Surgery (Dentist)
- Winston Salem, NC
National Provider Identifier
1477797850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11132
- Practice address
- 1405 Westgate Center Dr
Winston Salem, NC 27103-2995 - Phone
- (367) 655-3743
- Fax
- (336) 760-3066
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11132 | NC | Primary |
Addresses
Primary practice location
1405 Westgate Center Dr
Winston Salem, NC 27103-2995
Mailing address
1405 Westgate Center Dr
Winston Salem, NC 27103-2995
Phone (678) 313-0884
Other practice location 1
1999 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone (336) 718-6800
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11132 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 31183 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Bailey, Peoples, & Oghalai, P.a. | Oral and Maxillofacial Surgery | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Winston-Salem, NC
- NPI 1568438091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1477797850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 WESTGATE CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032995",
"telephone_number": "678-313-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 WESTGATE CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032995",
"telephone_number": "367-655-3743",
"fax_number": "336-760-3066"
}
],
"practiceLocations": [
{
"address_1": "1999 S Hawthorne Rd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033916",
"country_code": "US",
"telephone_number": "336-718-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUTOY",
"first_name": "JEFFREY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS,MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-29",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "11132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.