Adam Bradley Kruger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08951 Issued in IA

Practice address

135 7TH St SE
Oelwein, IA 50662-2811

Phone

(319) 283-4222

Fax

(319) 283-5686

NPI assigned

Jul 26, 2012

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

Enrolled in IA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• NE Iowa Dental Associates PC

  • General Practice Dentistry
  • Oelwein, IA
  • NPI 1235483280
  NPD (past) Authorized official

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1508112640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 7TH ST SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622811",
            "telephone_number": "319-283-4222",
            "fax_number": "319-283-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 7TH ST SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622811",
            "telephone_number": "319-283-4222",
            "fax_number": "319-283-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "ADAM",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Henry Imoehl, DDS
• Iowa Physicians Clinic Medical Foundation
• John Allen Johnson
• Krasko Enterprises Inc
• Trisha Ann Kress, ARNP
• Alan Wayne Kruger, DDS
• Jordan Catherine Langreck, PHARMD
• Jamie Marie Lanus, MSW, LISW
• Theresa A Ledesma, ARNP
• Roxanne Lenz, ARNP

• General Practice Dentistry in Oelwein, IA
• Providers in Oelwein, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.