Gerard E. Krueger, DDS,MS,FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

9655 Issued in FL

Practice address

7801 38TH Ave N
Saint Petersburg, FL 33710-1107

Phone

(727) 345-2064

Fax

(727) 345-1645

NPI assigned

Aug 26, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Roberto Macedo Dentistry LLC

  • Dentist
  • St. Petersburg, FL
  • NPI 1114456480
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1982851440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101107",
            "telephone_number": "727-345-2064",
            "fax_number": "727-345-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101107",
            "telephone_number": "727-345-2064",
            "fax_number": "727-345-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "GERARD",
        "middle_name": "E.",
        "credential": "DDS,MS,FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "9655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEILD",
            "identifier": "67835",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Kriseman, M.D.
• Kristi Van Sickle, PSYD, LLC
• Kristin Stallard
• Mark P. Krivoshik, MD
• Robert Kropp, M.D.
• Gordon Elliott Krueger, DDS., MS
• Steve M Krulich, AL
• Krupa Sai LLC
• Melissa Ann Kruse, APRN
• Greg Krzeminski, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.