Individual provider Active NPI

Phillip Kreuser, DDS

  • Dentist
  • Harker Heights, TX
National Provider Identifier
1720905235
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42660 Issued in TX
Practice address
420 E FM 2410 Rd Ste 104
Harker Heights, TX 76548-5718
Phone
(254) 272-3214
NPI assigned
Jul 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42660 TX Primary

Addresses

Primary practice location

420 E FM 2410 Rd Ste 104
Harker Heights, TX 76548-5718

Mailing address

420 E FM 2410 Rd Ste 104
Harker Heights, TX 76548-5718
Phone (254) 587-4154

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

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1720905235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E FM 2410 RD STE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485718",
            "telephone_number": "254-587-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E FM 2410 RD STE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485718",
            "telephone_number": "254-272-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSER",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.