Krause Family Dental of Romero PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KRAUSE FAMILY DENTAL OF ROMERO PLLC

Practice address

218 S Main Street
Romero, MI 48065

Phone

(586) 752-6586

Fax

(586) 752-6221

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew John Krause, D.D.S.

Title

President/Ceo/Member

Phone

(586) 752-6586

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edgar Hardwick, D.D.S.

  • General Practice Dentistry
  • Romeo, MI
  • NPI 1881710259
  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1811610892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN STREET",
            "city": "ROMERO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-752-6586",
            "fax_number": "586-752-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN STREET",
            "city": "ROMERO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-752-6586",
            "fax_number": "586-752-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAUSE FAMILY DENTAL OF ROMERO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO/MEMBER",
        "authorized_official_telephone_number": "586-752-6586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.