David Edmund Krigbaum, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4501 Issued in WI

Practice address

2620 Stewart Ave
Suite 218
Wausau, WI 54401-4170

Phone

(715) 842-8811

Fax

(715) 848-5109

NPI assigned

Nov 14, 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 7, 2016 through Apr 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• David E Krigbaum DDS SC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wausau, WI
  • NPI 1841411659
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750453049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE",
            "address_2": "SUITE 218",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014170",
            "telephone_number": "715-842-8811",
            "fax_number": "715-848-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE",
            "address_2": "SUITE 218",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014170",
            "telephone_number": "715-842-8811",
            "fax_number": "715-848-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGBAUM",
        "first_name": "DAVID",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Kressel
• Barbara Joy Kretzer, OPTICIAN
• Samantha D Kreutter, PT
• Kimberly Krezine, RN
• Jordan David Kribbs
• Kristo, LTC
• Bryan S Kroeger, HEARING SPECIALIST
• Kathryn A Krohn-Gill, MD
• Kimberly Krohn-Rick, MS, CCC-SLP
• Thaddeus J Krolicki, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Wausau, WI
• Providers in Wausau, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.