Individual provider Active NPI

Alan Lawrence Krochtengel

  • Periodontics
  • Bensalem, PA
National Provider Identifier
1912155482
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS-025192-L Issued in PA
Practice address
3554 Hulmeville Rd Ste 109
Bensalem, PA 19020-4366
Phone
(215) 639-7770
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS-025192-L PA Primary

Addresses

Primary practice location

3554 Hulmeville Rd Ste 109
Bensalem, PA 19020-4366

Mailing address

3554 Hulmeville Rd Ste 109
Bensalem, PA 19020-4366
Phone (215) 639-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160104000742 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951603232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-025192-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaye Periodontics Inc. Periodontics Past Accepting new patients
Bucks County Periodontics Periodontics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1912155482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 HULMEVILLE RD STE 109",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204366",
            "telephone_number": "215-639-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 HULMEVILLE RD STE 109",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204366",
            "telephone_number": "215-639-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCHTENGEL",
        "first_name": "ALAN",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS-025192-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.