Daniel a. Kruse, D.D.S., M.S.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901015087 Issued in MI

Legal business name

DANIEL A. KRUSE, D.D.S., M.S.D

Practice address

6208 Kalamazoo Ave SE
Kentwood, MI 49508-7022

Phone

(616) 656-4155

Fax

(616) 656-4156

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Daniel A. Kruse, D.D.S., M.S.D.

Title

President

Phone

(616) 656-4155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932327707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087022",
            "telephone_number": "616-656-4155",
            "fax_number": "616-656-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 KALAMAZOO AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087022",
            "telephone_number": "616-656-4155",
            "fax_number": "616-656-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A. KRUSE, D.D.S., M.S.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-656-4155",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901015087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Catherine Crowley, RDH
• Kloee Curtis
• Rachel E Curtis, RD
• Richard Czop, MD
• Amy Sue Da Silva, LMSW
• Caitlin Davenport
• David J. Scholten, OD, PC
• Briana Zoe Davids
• Michelle K Davis, M.D.
• Lisbeth De Los Santos

• Orthodontics and Dentofacial Orthopedics Dentistry in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.