Individual provider Active NPI

R. Paul Krey, DDS

  • Dentist
  • Brentwood, CA
National Provider Identifier
1518970060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16705 Issued in CA
Practice address
6440 Brentwood Blvd Ste B
Brentwood, CA 94513-2190
Phone
(925) 634-3501
Fax
(925) 634-1539
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16705 CA Primary

Addresses

Primary practice location

6440 Brentwood Blvd Ste B
Brentwood, CA 94513-2190

Mailing address

6440 Brentwood Blvd Ste B
Brentwood, CA 94513-2190
Phone (925) 634-3501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Dental Group Past Accepting new patients
Liberty Dental Group Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518970060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 BRENTWOOD BLVD STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132190",
            "telephone_number": "925-634-3501",
            "fax_number": "925-634-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 BRENTWOOD BLVD STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132190",
            "telephone_number": "925-634-3501",
            "fax_number": "925-634-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREY",
        "first_name": "R.",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "16705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.