Dirk Mitchell Krog I, DPM

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

12303 De Paul Dr
Bridgeton, MO 63044-2512

Phone

(314) 344-6000

NPI assigned

Jun 27, 2025

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

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 and National Provider Directory roles.

• SSM Depaul Health Center Foundation

  • Student in an Organized Health Care Education/Training Program
  • Bridgeton, MO
  • NPI 1407740061
  NPD

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1982592788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28602 510TH AVE",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565519319",
            "telephone_number": "218-831-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROG",
        "first_name": "DIRK",
        "middle_name": "MITCHELL",
        "name_suffix": "I",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy L Krebs, D.O.
• Kelly Kreder, CCC-SLP
• Jessica Nicole Kreter
• Lauren Richelle Kreutz
• Veena Krishnan, MD
• Kaitlin Marie Krueger, B.A.
• Kristen Krumm, PHARM.D.
• Shenif Ladak, M.D.
• Julie A Ladd
• Julie E. Lafferty, M.D.

• Student in an Organized Health Care Education/Training Program in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.