Individual provider Active NPI

Gary Neal Krebill, D.D.S.

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1649275678
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11322 Issued in MI
Practice address
4341 S Westnedge Ave
Ste 2112
Kalamazoo, MI 49008-3286
Phone
(269) 382-5040
Fax
(269) 382-4332
NPI assigned
Jun 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11322 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave
Ste 2112
Kalamazoo, MI 49008-3286

Mailing address

4341 S Westnedge Ave
Ste 2112
Kalamazoo, MI 49008-3286
Phone (269) 382-5040

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
I20151203000323 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799085320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11322MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary N. Krebill,DDS,PC Past Accepting new patients

Organizations & group practices 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649275678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "STE 2112",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083286",
            "telephone_number": "269-382-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "STE 2112",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083286",
            "telephone_number": "269-382-5040",
            "fax_number": "269-382-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBILL",
        "first_name": "GARY",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.