NPIMap

Organization Active NPI

Gregg R. Kroen DDS PA

  • General Practice Dentistry
  • Winter Park, FL
National Provider Identifier
1487862553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN6866 Issued in FL
Legal business name
GREGG R. KROEN DDS PA
Practice address
1299 Howell Branch Rd
Winter Park, FL 32789-1005
Phone
(407) 647-7775
Fax
(407) 629-6499
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregg Reno KroenNPI 1033327192
Title
Owner
Phone
(407) 647-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN6866 FL Primary

Addresses

Primary practice location

1299 Howell Branch Rd
Winter Park, FL 32789-1005

Mailing address

1299 Howell Branch Rd
Winter Park, FL 32789-1005
Phone (407) 647-7775

National Provider Directory

National Provider Directory

Locations

1299 Howell Branch Rd
Winter Park, FL 32789
Phone (407) 647-7775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487862553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891005",
            "telephone_number": "407-647-7775",
            "fax_number": "407-629-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891005",
            "telephone_number": "407-647-7775",
            "fax_number": "407-629-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG R. KROEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "RENO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-647-7775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN6866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • 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.