Organization Active NPI

Erika L Krouth DDS PC

  • Dentist
  • Oswego, IL
National Provider Identifier
1861850794
Registry record updated Feb 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026134 Issued in IL
Legal business name
ERIKA L KROUTH DDS PC
Practice address
1016 Douglas Rd Unit a
Oswego, IL 60543-9865
Phone
(630) 554-5244
NPI assigned
Feb 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2016

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

Authorized official

Name
Erika Krouth
Title
Owner
Phone
(630) 554-5244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019026134 IL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019030387 IL

Addresses

Primary practice location

1016 Douglas Rd Unit a
Oswego, IL 60543-9865

Mailing address

1016 Douglas Rd Unit a
Oswego, IL 60543-9865
Phone (630) 554-5244

National Provider Directory

National Provider Directory

Locations

1016 Douglas Rd
Ste A
Oswego, IL 60543
Phone (630) 554-5244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454716800000",
    "number": "1861850794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 DOUGLAS RD UNIT A",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439865",
            "telephone_number": "630-554-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 DOUGLAS RD UNIT A",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439865",
            "telephone_number": "630-554-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA L KROUTH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A",
        "authorized_official_last_name": "KROUTH",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-554-5244"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026134",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.