John G Cronkrite, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001688-015 Issued in WI

Practice address

211 Market Ave
Port Edwards, WI 54469-1347

Phone

(715) 887-2000

NPI assigned

Sep 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740274422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ALEXANDER AVE",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691327",
            "telephone_number": "715-887-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARKET AVE",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691347",
            "telephone_number": "715-887-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONKRITE",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001688-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33376000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ayres
• Michael Lynn Bernarde, PTA
• County of Wood (Edgewater Haven Nursing Home)
• Sharon K. Holy, P.T.
• John E Alexander South Wood County Young Men's Christian Association
• Sidrah Amhed Khan
• Charlene M Marshall
• Kali Mayek

• General Practice Dentistry in Port Edwards, WI
• Providers in Port Edwards, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.