Christopher Krausert, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1001574-15 Issued in WI

Practice address

1100 Madison Ave
Fort Atkinson, WI 53538-1374

Phone

(920) 397-5585

NPI assigned

Jun 19, 2017

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

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

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.

• Eastbrook Dental

  • General Practice Dentistry
  • Brookfield, WI
  • NPI 1669518213
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1740710995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381374",
            "telephone_number": "920-397-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSERT",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001574-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Kollwelter, LCSW
• Billie G Kontny, MD
• Sheila Kay Kozler Sr., PSYD
• Stephanie Ann Kracht, R.N.
• Joellyn Krause, APNP
• Virginia Lynd Kreger, LPN
• Kyle Aaron Kreul
• Sadie Nell Kroll, DDS
• Michael L Kruk, MD
• Rebecca L Krumm, PT

• Dentist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.