Kallie Marie Krugman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6761 Issued in NE

Practice address

510 W Madison Ave
Norfolk, NE 68701-5231

Phone

(402) 371-9552

NPI assigned

Jun 4, 2008

Sex

Female

Sole proprietor

Yes

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 14, 2016 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Smiles Dental P.C.

  • General Practice Dentistry
  • Norfolk, NE
  • NPI 1851908776
  NPD Authorized official

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1750540845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MADISON AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015231",
            "telephone_number": "402-371-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MADISON AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015231",
            "telephone_number": "402-371-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGMAN",
        "first_name": "KALLIE",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026333400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley D Krohn, PA-C
• Andrea Jo Kropf
• Bailey Kroupa
• Kyley Maelen Krueger
• Natalie Kruger
• Barbara Kruid
• Carrie A Kruse
• Julieth Bautista Kruse
• Gina Krysl, PLMHP, PLADC
• Brianna Elizabeth Krystof

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.