Michael Karl Kreitzer, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.025178 Issued in OH

Practice address

5152 Blazer Pkwy Ste 100
Dublin, OH 43017-7323

Phone

(614) 333-8297

NPI assigned

May 30, 2014

Last updated

Jul 9, 2019By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Columbus Periodontics LLC

  • Periodontics
  • Columbus, OH
  • NPI 1922610203
  NPD (past)

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1790197390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177323",
            "telephone_number": "614-333-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177323",
            "telephone_number": "614-333-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kneeland St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111527",
            "country_code": "US",
            "telephone_number": "413-262-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 University Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022265",
            "country_code": "US",
            "telephone_number": "413-549-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Carew St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011042458",
            "country_code": "US",
            "telephone_number": "413-788-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Forest Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430548215",
            "country_code": "US",
            "telephone_number": "614-532-4132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1132 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456011174",
            "country_code": "US",
            "telephone_number": "614-468-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREITZER",
        "first_name": "MICHAEL",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-30",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1856531",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.025178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@stonerperio.com",
            "affiliation": "N",
            "address_1": "5152 Blazer Pkwy Ste 100",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430177323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey A. Krasniewski, MD
• Hailey Kraus
• Cynthia G Kreger, MD
• Rachel M Kreidler, OTL
• Matthew Kreilick
• Gabriel Krenitsky, MD
• Bradley Krick
• Christine Krishnan
• Paula J Krivchenia, LISW
• Andrew F Krizman

• Periodontics in Dublin, OH
• Providers in Dublin, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.