Thoedoer Krueger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3497 Issued in WI

Practice address

501 E Lake St
Horicon, WI 53032-1246

Phone

(920) 485-4831

NPI assigned

Mar 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Esser, Krueger & Borja DDS SC

  • General Practice Dentistry
  • Horicon, WI
  • NPI 1336258557
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689798027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321246",
            "telephone_number": "920-485-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321246",
            "telephone_number": "920-485-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "THOEDOER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Marie Grams, APNP,
• Kathleen A Hagen, RN
• Healing Hearts Sanctuary, LLC
• Horicon Family Chiropractic
• Brock Kane
• Tasha Manthey, LPN
• Marshland Chemists, Inc. (Marshland Pharmacy)
• Marshland Pharmacies, Inc (Marshland Pharmacy)
• Anna Laura Minnema, DDS
• Megan Elizabeth Oldridge, D.M.D.

• General Practice Dentistry in Horicon, WI
• Providers in Horicon, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.