Individual provider Active NPI

Justin Mehrtosh Kringel, DDS

  • Dentist
  • Longview, WA
National Provider Identifier
1871215806
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61592586 Issued in WA
Practice address
1118 Ocean Beach Hwy
Longview, WA 98632-4638
Phone
(360) 423-5240
NPI assigned
Sep 15, 2022
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108020 CA
Dentist 122300000X DE61592586 WA Primary

Addresses

Primary practice location

1118 Ocean Beach Hwy
Longview, WA 98632-4638

Mailing address

1118 Ocean Beach Hwy
Longview, WA 98632-4638
Phone (360) 423-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509001822 CA Order and Referring Only - DentistPractitioner - Dentist 6002272499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108020CAMDClinical Social Worker
DE61592586WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Troy and Kringel, PLLC Dentist CurrentSince Oct 6, 2024 Accepting new patients
JD Troy DDS PLLC PastSince Oct 6, 2024 Accepting new patients

Locations

1118 Ocean Beach Hwy
Longview, WA 98632
Phone (360) 423-5240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1871215806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324638",
            "telephone_number": "360-423-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324638",
            "telephone_number": "360-423-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRINGEL",
        "first_name": "JUSTIN",
        "middle_name": "MEHRTOSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108020",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61592586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.