Active NPI
Davd Bradley Krill, D.M.D.
- Periodontics
- Cincinnati, OH
National Provider Identifier
1811095276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16364
- Practice address
- 10475 Montgomery Rd Ste 1H
Cincinnati, OH 45242-5200 - Phone
- (513) 891-3933
- Fax
- (513) 891-5979
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16364 | OH | Primary |
Addresses
Primary practice location
10475 Montgomery Rd Ste 1H
Cincinnati, OH 45242-5200
Mailing address
10475 Montgomery Rd Ste 1H
Cincinnati, OH 45242-5200
Phone (513) 891-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130204000430 | OH | Order and Referring Only - Oral Surgery | 5890983019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B. Krill,D.M.D.,Inc. | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Cincinnati, OH
- NPI 1417055799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811095276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 MONTGOMERY RD STE 1H",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425200",
"telephone_number": "513-891-3933",
"fax_number": "513-891-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 MONTGOMERY RD STE 1H",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425200",
"telephone_number": "513-891-3933",
"fax_number": "513-891-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRILL",
"first_name": "DAVD",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "16364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.