Individual provider Active NPI

Andrew J Krause, D.D.S.

  • General Practice Dentistry
  • New Baltimore, MI
National Provider Identifier
1578651766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14272 Issued in MI
Practice address
51160 Washington St
New Baltimore, MI 48047-2159
Phone
(586) 725-9321
Fax
(586) 725-5108
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 14272 MI Primary

Addresses

Primary practice location

51160 Washington St
New Baltimore, MI 48047-2159

Mailing address

51160 Washington St
New Baltimore, MI 48047-2159
Phone (586) 725-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20161111000665 MI Order and Referring Only - DentistPractitioner - Dentist 0446539696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14272MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Krause Dental Excellence PC PastSince Dec 1, 2006 Accepting new patients
NB Dental PastSince May 10, 2020 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578651766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51160 WASHINGTON ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472159",
            "telephone_number": "586-725-9321",
            "fax_number": "586-725-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51160 WASHINGTON ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472159",
            "telephone_number": "586-725-9321",
            "fax_number": "586-725-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

Verify at the official NPI Registry.