Gordon Elliott Krueger, DDS., MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN0011297 Issued in FL

Practice address

6740 Crosswinds Dr N
Suite F
St Petersburg, FL 33710-8606

Phone

(727) 384-6533

Fax

(727) 384-2441

NPI assigned

Feb 9, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962543454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 CROSSWINDS DR N",
            "address_2": "SUITE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108606",
            "telephone_number": "727-384-6533",
            "fax_number": "727-384-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 CROSSWINDS DR N",
            "address_2": "SUITE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108606",
            "telephone_number": "727-384-6533",
            "fax_number": "727-384-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "GORDON",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DDS., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN0011297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Van Sickle, PSYD, LLC
• Kristin Stallard
• Mark P. Krivoshik, MD
• Robert Kropp, M.D.
• Gerard E. Krueger, DDS,MS,FACP
• Steve M Krulich, AL
• Krupa Sai LLC (Quick Pharmacy)
• Melissa Ann Kruse, APRN
• Greg Krzeminski, DC
• KSP Health LLC

• Prosthodontics in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Prosthodontics in Florida

• 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.