Krell-Reuben Oral Surgery LTD.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KRELL-REUBEN ORAL SURGERY LTD.

Practice address

4200 W Peterson Ave
Suite 128
Chicago, IL 60646-6074

Phone

(773) 777-6332

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Michael Reuben, DDS, MSNPI 1508864158

Title

Oral Surgeon

Phone

(773) 777-6332

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Michael Reuben, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1508864158
  NPD (past) Authorized official
• Michael A. Krell, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1669470217
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811026669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 128",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-777-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 128",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-777-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRELL-REUBEN ORAL SURGERY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REUBEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "773-777-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Kreiter, LCSW
• Mary Lynn Kreiter, MD
• Alison Gieren Krejci, LMT
• Tatiana Krejci, M.D.
• Tom Krejcie, MD
• Michael A. Krell, D.D.S., M.S.
• Nicole Kreller, MS DT
• Colleen Marie Kremer, OTR/L
• Meghan Kremke, PA-C
• Kevin T Krenek, NP-C

• Oral and Maxillofacial Surgery (Dentist) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.