Active NPI
Emma Margaret Krueger, DDS
- Dentist
- Huntley, IL
National Provider Identifier
1811677958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.034477
- Practice address
- 9920 N Highway 47
Huntley, IL 60142-9325 - Phone
- (847) 802-0427
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019.034477 | IL | Primary |
Addresses
Primary practice location
9920 N Highway 47
Huntley, IL 60142-9325
Mailing address
2610 Bobs Dr
Fitchburg, WI 53711-9121
Other practice location 1
1576 W Lane Rd
Machesney Park, IL 61115
Phone (815) 219-7576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034477 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1811677958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 BOBS DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537119121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 N HIGHWAY 47",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601429325",
"telephone_number": "847-802-0427"
}
],
"practiceLocations": [
{
"address_1": "1576 W Lane Rd",
"address_purpose": "LOCATION",
"city": "Machesney Park",
"state": "IL",
"postal_code": "61115",
"country_code": "US",
"telephone_number": "815-219-7576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "EMMA",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.034477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.