Jon C Krenz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

704 Indiana Ave
Mendota, IL 61342-1617

Phone

(815) 538-5316

Fax

(815) 539-7626

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By 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

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.

• Krenz Dental Corp. LTD

  • General Practice Dentistry
  • Mendota, IL
  • NPI 1962524363
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942323787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 167",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "61342",
            "telephone_number": "815-538-5316",
            "fax_number": "815-539-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 INDIANA AVE",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613421617",
            "telephone_number": "815-538-5316",
            "fax_number": "815-539-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZ",
        "first_name": "JON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Chase Humphrey, O.T.R.
• Sharon Jones Burtlow, FNP-BC
• Tracie R Kelly, APRN
• Eric A Kivisto, DO
• Krenz Dental Corp. LTD
• Marcela Renee Lemus, FNP-C
• Leonardo Lopez, M.D.
• Cara Elizabeth Ludwick, M.S., CCC-SLP
• Jonathan Mata, PHARMD
• Amy M Matheis-Soliman, DO

• General Practice Dentistry in Mendota, IL
• Providers in Mendota, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.