Joseph J. Krupa, III, D.D.S., P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2847 Issued in NC

Legal business name

JOSEPH J. KRUPA, III, D.D.S., P.A.

Practice address

1510 Medical Center Drive
Wilmington, NC 28401-7506

Phone

(910) 762-1555

Fax

(910) 251-1721

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Joseph J Krupa III, D.D.S.

Title

President

Phone

(910) 762-1555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1811211485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MEDICAL CENTER DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017506",
            "telephone_number": "910-762-1555",
            "fax_number": "910-251-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MEDICAL CENTER DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017506",
            "telephone_number": "910-762-1555",
            "fax_number": "910-251-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. KRUPA, III, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-762-1555",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Jordan, OTR/L
• Rachel Jordan
• Stephania Blakley Jordan, FNP
• Laura Beth Jore
• Joseph E. Jamison, DDS, P. a.
• David Brian Joseph, MD
• Graham Joseph, MA, LAT, ATC, CSCS
• Theresa Joseph, MSW, LCSWA
• Anand Joshi, MD
• Joshua D'Alessandro, D.C., P.C.

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.