Active NPI
Amber Michelle Kreko
- Periodontics
- Shreveport, LA
National Provider Identifier
1649903832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 7349
- Practice address
- 745 Edgemont St
Shreveport, LA 71106-2246 - Phone
- (318) 868-0535
- NPI assigned
- Jul 5, 2022
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 7349 | LA | Primary |
Addresses
Primary practice location
745 Edgemont St
Shreveport, LA 71106-2246
Mailing address
214 Conti Way
Bossier City, LA 71111-6365
Phone (225) 241-6478
Other practice location 1
2160 Airline Dr
Bossier City, LA 71111-1608
Phone (318) 868-0535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7349 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreveport Periodontal Specialists | Current | 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.
-
- Periodontics
- Shreveport, LA
- NPI 1720803356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1649903832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CONTI WAY",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116365",
"telephone_number": "225-241-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 EDGEMONT ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062246",
"telephone_number": "318-868-0535"
}
],
"practiceLocations": [
{
"address_1": "2160 Airline Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711111608",
"country_code": "US",
"telephone_number": "318-868-0535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREKO",
"first_name": "AMBER",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "7349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.