Douglas Alan Krueger, D.D.SS.

Primary specialty

DentistTaxonomy code 122300000X

License

1212 G. WIS Issued in WI

Practice address

821 E 1St Ave
Suite 1
Appleton, WI 54911-1501

Phone

(920) 734-2414

Fax

(920) 734-8722

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 WI

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

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548489610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E 1ST AVE",
            "address_2": "SUITE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111501",
            "telephone_number": "920-734-2414",
            "fax_number": "920-734-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E 1ST AVE",
            "address_2": "SUITE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111501",
            "telephone_number": "920-734-2414",
            "fax_number": "920-734-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.SS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1212 G. WIS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis L Kroner, M.D.
• Mackenzie Kropidlowski
• Dana Kropp, PTA
• Kailee Kruck
• April Marie Krueger, OTR MS
• Mary Krueger
• Michael A Krueger, MD
• Nathan Phillip Krueger, DMD
• Joseph John Krupka, O.D.
• Anna Corrine Krupp

• Dentist in Appleton, WI
• Providers in Appleton, WI by specialty
• Dentist in Wisconsin

• 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.
• 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.