Eric Kruske, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901020485 Issued in MI

Practice address

6400 Telegraph Road Suite 1500
Bloomfield Hills, MI 48301

Phone

(248) 855-0824

Fax

(248) 855-0873

NPI assigned

Jun 15, 2011

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.

• Farmbrook Dental Group PC

  • General Practice Dentistry
  • Bloomfield Hills, MI
  • NPI 1740214683
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1598050817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TELEGRAPH ROAD SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-855-0824",
            "fax_number": "248-855-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 TELEGRAPH ROAD SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-855-0824",
            "fax_number": "248-855-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSKE",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Keskey MD, PC.
• Tara Elizabeth Kristock, CPNP-PC
• Helene A Kroll, LMSW,CAADC
• Alexandra Krot, DO
• Jason H Krupsky, CRNA
• KS Optom PLLC
• Amanda Betsy Kulka, RN
• Julie Kwon, PH.D.
• Kynergy Home Care
• Lindsay C Laboda, LMSW

• Dentist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.