Jeffrey D. Krupp, D.D.S & M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

028180 Issued in CA

Practice address

3994 S Bascom Ave
#5
San Jose, CA 95124-2663

Phone

(408) 371-1444

Fax

(408) 371-2221

NPI assigned

Aug 29, 2006

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

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 and National Provider Directory roles.

• Abedi & Alnatour Dental Corporation

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1558104877
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982712741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 S BASCOM AVE",
            "address_2": "#5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-371-1444",
            "fax_number": "408-371-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 S BASCOM AVE",
            "address_2": "#5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-371-1444",
            "fax_number": "408-371-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S & M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "028180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Kroner
• Erica Krueger
• Kelly Krueger
• Natalie Krueger
• Roya Kruk
• Leslie Krusinski, LMFT
• Tessa Kryst, RBT
• Eric Krzanich
• Lauren Krzywinski
• Kevin Ku, D.O.

• Endodontics in San Jose, CA
• Providers in San Jose, CA by specialty
• Endodontics in California

• 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.