John L Krumpotich DDS Fagd PA

Primary specialty

DentistTaxonomy code 122300000X

License

8036 Issued in MD

Legal business name

JOHN L KRUMPOTICH DDS FAGD PA

Doing business as

Amber Meadows Family Dental

Practice address

196 Thomas Johnson Drive
Suite 130
Frederick, MD 21702

Phone

(301) 663-5552

Fax

(301) 663-4629

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By 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. John Lewis Krumpotich Jr., DDSNPI 1083738082

Title

Dentist President

Phone

(301) 663-5552

Specialties & licenses 1

Addresses

Other names 1

• Amber Meadows Family Dental Doing business as

Locations

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.

• John Lewis Krumpotich Jr., D.D.S.

  • General Practice Dentistry
  • Frederick, MD
  • NPI 1083738082
  Authorized official Same address or phone

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841209053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 130",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-663-5552",
            "fax_number": "301-663-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 130",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-663-5552",
            "fax_number": "301-663-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L KRUMPOTICH DDS FAGD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUMPOTICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "301-663-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Meadows Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jim Rose, LCPC, LLC
• Karla Jimenez
• Kendall Noelle Jo, OTR/L
• Joanna Elizabeth Jobin, M.S.
• Mikschal Johanison, LAC
• Jennifer John, D.D.S
• Johns Hopkins Community Physicians (JHCP - 3501 John Simmons St A201)
• Johns Hopkins Community Physicians (JHCP - 195 Thomas Johnson Drive)
• Johns Hopkins Community Physicians (JHCP - 3530 Sugarloaf Parkway)
• Johns Hopkins Community Physicians (JHCP Social Worker- 45 Thomas Johnson Dr. Ste 109)

• Dentist in Frederick, MD
• Providers in Frederick, MD by specialty
• Dentist in Maryland

• 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.