Jonathan G Krum, PHD, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D1119 Issued in SD

Practice address

503 Jackson St
Belle Fourche, SD 57717-1716

Phone

(605) 892-6347

Fax

(605) 892-9027

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

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.

• Jackson Dental Prof. LLC

  • Dentist
  • Belle Fourche, SD
  • NPI 1144394545
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1699126144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 JACKSON ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171716",
            "telephone_number": "605-892-6347",
            "fax_number": "605-892-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JACKSON ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171716",
            "telephone_number": "605-892-6347",
            "fax_number": "605-892-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUM",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "credential": "PHD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve A Jewett
• Abby J. Johnson, D.C.
• Judy's Assisted Living
• Jennifer Joann Karp, NP-C
• William Skyler Kirk, LCSW
• Vanessa Kudlock, NP
• Douglas J. Larson, D.C.
• Jade D Larson, D.C.
• Lotus Health SD
• Abigail Schumaker Marek, FNP-C

• Dentist in Belle Fourche, SD
• Providers in Belle Fourche, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.