John N Krupka DDS SC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JOHN N KRUPKA DDS SC

Practice address

1810 Crooks Ave
Suite 3
Kaukauna, WI 54130-3246

Phone

(920) 766-1122

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

John Krupka, DDSNPI 1265500136

Title

President

Phone

(920) 766-1122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Krupka Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Norbert Krupka, D.D.S.

  • Dentist
  • Kaukauna, WI
  • NPI 1265500136
  NPD (past) Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1609324896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CROOKS AVE",
            "address_2": "SUITE 3",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303246",
            "telephone_number": "920-766-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CROOKS AVE",
            "address_2": "SUITE 3",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303246",
            "telephone_number": "920-766-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N KRUPKA DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KRUPKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-766-1122",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC  PTAN",
            "identifier": "7557350001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krupka Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indigo Health and Wellness
• Janell R Jacques, RN
• Michelle L Jahnke, RN
• Jonathan K Jandrin, MSN, FNP-C
• Emily A Jansen
• Erin Mae Johnson, PA-C
• Gregory A Johnson, MD
• Carly Kathryn Justice, OT
• Katy A Kaminski, MT
• Nicole Kappell, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.