Thomas Elliot Krupa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

8240 Wolf Rd
Willow Springs, IL 60480-1084

Phone

(708) 839-5529

Fax

(708) 839-4356

NPI assigned

Sep 15, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Krupa Dental Care, P.C.

  • Dental Clinic/Center
  • Willow Springs, IL
  • NPI 1538494703
  NPD (past) Authorized official

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1528254331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 WOLF RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801084",
            "telephone_number": "708-839-5529",
            "fax_number": "708-839-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 WOLF RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801084",
            "telephone_number": "708-839-5529",
            "fax_number": "708-839-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "THOMAS",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Klima, LCSW
• Raunaq Singh Kohli
• Aileen B Kokaska, LCSW
• Nicole Marie Kostelc, PHARMD
• Krupa Dental Care, P.C.
• Emily Kurley
• Macayla Lenzi, PTA
• Mainstreet Accessibility Inc
• Abigail Malvestuto, LMT
• Melody Marcotte, MA, LCSW

• General Practice Dentistry in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.