Active NPI
Erich Frederick Kronenwett, D.M.D.
- General Practice Dentistry
- Acton, MA
National Provider Identifier
1992893499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1880820
- Practice address
- 179 Great Rd
Suite 204
Acton, MA 01720-5777 - Phone
- (978) 263-3526
- Fax
- (978) 263-5888
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1880820 | MA | Primary |
Addresses
Primary practice location
179 Great Rd
Suite 204
Acton, MA 01720-5777
Mailing address
179 Great Rd
Suite 204
Acton, MA 01720-5777
Phone (978) 263-3526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452868 | Other | PA | UNITED CONCORDIA |
| X07362 | Other | MA | BC/BS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150807013627 | MA | Order and Referring Only - Dentist | 5799099594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1880820 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acton Dental Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Acton, MA
- NPI 1821133166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992893499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 GREAT RD",
"address_2": "SUITE 204",
"city": "ACTON",
"state": "MA",
"postal_code": "017205777",
"telephone_number": "978-263-3526",
"fax_number": "978-263-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 GREAT RD",
"address_2": "SUITE 204",
"city": "ACTON",
"state": "MA",
"postal_code": "017205777",
"telephone_number": "978-263-3526",
"fax_number": "978-263-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENWETT",
"first_name": "ERICH",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "1880820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1452868",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MA",
"identifier": "X07362",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Acton, MA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.