Organization Active NPI

Roy Krengel DDS PA

  • General Practice Dentistry
  • Bloomington, MN
National Provider Identifier
1679705404
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROY KRENGEL DDS PA
Practice address
8900 Penn Ave S
Suite #112
Bloomington, MN 55431-2068
Phone
(952) 888-1311
Fax
(952) 888-3325
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Roy Krengel, D.D.S.
Title
President
Phone
(952) 888-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8900 Penn Ave S
Suite #112
Bloomington, MN 55431-2068

Mailing address

8900 Penn Ave S
Suite #112
Bloomington, MN 55431-2068
Phone (952) 888-1311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1679705404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE #112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-888-1311",
            "fax_number": "952-888-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE S",
            "address_2": "SUITE #112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312068",
            "telephone_number": "952-888-1311",
            "fax_number": "952-888-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY KRENGEL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "KRENGEL",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.