Active NPI
Caroline Elizabeth Krueger, D.M.D.
- Dentist
- Mount Dora, FL
National Provider Identifier
1699453092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28286
- Practice address
- 18170 US Highway 441
Mount Dora, FL 32757-6709 - Phone
- (352) 383-8121
- NPI assigned
- Jul 6, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28286 | FL | Primary |
Addresses
Primary practice location
18170 US Highway 441
Mount Dora, FL 32757-6709
Mailing address
18170 US Highway 441
Mount Dora, FL 32757-6709
Phone (352) 383-8121
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 |
|---|---|---|---|
| 28286 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1699453092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18170 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576709",
"telephone_number": "352-383-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18170 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576709",
"telephone_number": "352-383-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "CAROLINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.