Frederick Joseph Krock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13305 Issued in OH

Practice address

137 W Chillicothe Ave
Bellefontaine, OH 43311-1472

Phone

(937) 592-1776

Fax

(937) 592-4566

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bellefontaine Dental, Mark R. Bedford, DDS, LLC

  • Dentist
  • Springfield, OH
  • NPI 1720372899
  NPD (past)
• Sarah E. Ash. DDS. LLC

  • General Practice Dentistry
  • Bellefontaine, OH
  • NPI 1952893174
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851454458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W CHILLICOTHE AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111472",
            "telephone_number": "937-592-1776",
            "fax_number": "937-592-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W CHILLICOTHE AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111472",
            "telephone_number": "937-592-1776",
            "fax_number": "937-592-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCK",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knead More Massage
• Katie Marie Kovach
• John Stephen Koval, M.D.
• Alexis Kranz
• Emma I Krock, CNP
• Meghan B. Kromer, APRN-CNP
• Teralyn D Kunze
• L L Morris MD Inc
• Martha Jane Lang, B.A.
• Kara Marie Lappin, D.O.

• General Practice Dentistry in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.