Nathan Krug

Primary specialty

DentistTaxonomy code 122300000X

License

DS045134 Issued in PA

Practice address

111 Industrial Park Rd
Johnstown, PA 15904-1940

Phone

(814) 266-3151

NPI assigned

Jun 3, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• James R. Moore D.D.S., J.Craig Moore D.M.D., P.C.

  • Dental Clinic/Center
  • Johnstown, PA
  • NPI 1477155844
  NPD

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1912890252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 INDUSTRIAL PARK RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 INDUSTRIAL PARK RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041940",
            "telephone_number": "814-266-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Kriger, D.O.
• Brock Krise
• Kristina M. Wolf, DMD, PC
• Elizabeth Kriston
• Joy Ellen Kruczay, DPM
• Sophia Kubes
• Raymond Paul Kucera, DMD
• Wendy Jo Kudlawiec, P.T.
• Casey Rae Kuhn, BCBA
• Kenneth Joseph Kulback, DC

• Dentist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.