Krouse-Evans, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30013385 Issued in OH

Legal business name

KROUSE-EVANS, INC.

Doing business as

Defiance Dental Group

Practice address

245 Stadium Dr
Defiance, OH 43512-4604

Phone

(419) 782-7950

Fax

(419) 782-8880

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Eberle

Title

Office Manager

Phone

(419) 782-7950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Defiance Dental Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James M Elchinger, DDS

  • General Practice Dentistry
  • Defiance, OH
  • NPI 1437687316
  NPD (past)
• Kirk David McKibben, D.D.S.

  • General Practice Dentistry
  • Defiance, OH
  • NPI 1629207568
  NPD (past)
• Luke Walz, DDS

  • General Practice Dentistry
  • Defiance, OH
  • NPI 1508981911
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1962647180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-7950",
            "fax_number": "419-782-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-7950",
            "fax_number": "419-782-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROUSE-EVANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "EBERLE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-782-7950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30013385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defiance Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Kramer Jr.
• Megan N Kreischer
• Kennedy Jo Kroeckel
• Kroger Limited Partnership I
• Patricia Sheehan Kroncke, RN,CNS,APRN
• Jessica Rose Krugh, PA
• Mark Kuhlman
• Heidi Lynn Lacey, O.D.
• Hannah Rose Lamb, PHARMD
• Nicole L Lamb, LPN

• General Practice Dentistry in Defiance, OH
• Providers in Defiance, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.