Kurt Peter Chroust, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9728 Issued in MN

Practice address

15180 Chippendale Ave W
Rosemount, MN 55068-1523

Phone

(651) 423-1900

Fax

(651) 423-6595

NPI assigned

Oct 17, 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

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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.

• JT Dental Group PLLC

  • General Practice Dentistry
  • Rosemount, MN
  • NPI 1124618962
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1912088113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15180 CHIPPENDALE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681523",
            "telephone_number": "651-423-1900",
            "fax_number": "651-423-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15180 CHIPPENDALE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681523",
            "telephone_number": "651-423-1900",
            "fax_number": "651-423-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROUST",
        "first_name": "KURT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Carpenter, MSW, LICSW
• Bethany Marie Carroll, OTR
• Julia Casper, MOTR/L
• Children's Therapy Ctr, Inc
• Bethany Leigh Christianson, OTR
• Adrienne Chum
• James Gary Ciemny Jr., LICSW
• Thomas Clarkin
• Andrew Philip Clemens
• Samantha Cline

• General Practice Dentistry in Rosemount, MN
• Providers in Rosemount, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.