Keith Edward Krueger, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D6629 Issued in OR

Practice address

1475 SW Chandler Ave
Suite 101
Bend, OR 97702-3238

Phone

(541) 617-3993

Fax

(541) 617-0030

NPI assigned

Apr 25, 2006

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

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

Previously, effective Aug 26, 2014 through Aug 26, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K & L Oms LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Bend, OR
  • NPI 1063942043
  NPD (past) Authorized official
• K & L Oms LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Redmond, OR
  • NPI 1598478109
  NPD (past)
• Oregon Anesthesiology Group PC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1477527786
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720044126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023238",
            "telephone_number": "541-617-3993",
            "fax_number": "541-617-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023238",
            "telephone_number": "541-617-3993",
            "fax_number": "541-617-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OR",
            "license": "D6629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Daniel Krivan, PA-C
• Daniel Kriz, PSY.D., ABPDN
• Morgan A Kriz, DPT
• Bryan Krogstad, LCSW
• Adrian Michael Krueger, P.A-C
• Kelsey Krumm
• Martina Dale Krupinski, LPC-I
• Jamie Kruse, LMT
• Rebecca Barnhart Kryck, PA-C
• Roger Allen Kryzanek, L.C.S.W.

• Oral and Maxillofacial Pathology Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Oral and Maxillofacial Pathology Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.