Katelyn Marie Kreh

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DD5536 Issued in NM

Practice address

5600 Coors Blvd NW Ste G4
Albuquerque, NM 87120-1877

Phone

(505) 431-9740

NPI assigned

Apr 1, 2020

Sex

Female

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

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bosque Smiles Dentistry, LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1013550094
  NPD
• NE Heights Modern Dentistry, LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1326331588
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1730717869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N COMMERCE ST APT 405",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123489",
            "telephone_number": "262-227-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 COORS BLVD NW STE G4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201877",
            "telephone_number": "505-431-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Wyoming Blvd NE Ste W",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871093859",
            "country_code": "US",
            "telephone_number": "505-821-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREH",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": "DD5536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry R Krauss
• Julie D Krawchuck, CFNP
• Erin Mekenzie Krebs, CSW
• Melody Dawn Krech, PT
• Ariana Kredlo
• Christine Kreitinger, PHARMD
• Matthew G. Kreitzer, D.O.M.
• Timothy D. Krenik, PA-C
• Diana E Krenz, FNP-BC
• Kimberly Kresovich, MD

• Public Health Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Public Health Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.