Paul D. Kruth, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS029461L Issued in PA

Practice address

1447 E Market St
York, PA 17403-1254

Phone

(717) 845-2771

Fax

(717) 845-5907

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 12, 2017 through Apr 12, 2027

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1447 Dental Associates

  • Dentist
  • York, PA
  • NPI 1316110554
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659472322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031254",
            "telephone_number": "717-845-2771",
            "fax_number": "717-845-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031254",
            "telephone_number": "717-845-2771",
            "fax_number": "717-845-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTH",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029461L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "134841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Krieger
• Richard C Krieger
• Kaydee Lynn Krone
• Jourdan Krotec, DO
• Courtney Erin Krug, M.D.
• Mary Jo Krynock, CPS
• Deborah G Krzeminski, LPC
• Joseph P Krzeminski, M.D.
• Varun Kudchadker, RPH
• Nishan Kugan, MD

• Dentist in York, PA
• Providers in York, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.