J. Michael Kroe,D.D.S.,PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5003 Issued in MD

Legal business name

J. MICHAEL KROE,D.D.S.,PA

Practice address

280 E Main St
Suite 100
Westminster, MD 21157-5525

Phone

(410) 848-9595

Fax

(410) 848-9596

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Michael Kroe, D.D.S.

Title

Director of the Board

Phone

(410) 848-9595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1992963573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575525",
            "telephone_number": "410-848-9595",
            "fax_number": "410-848-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575525",
            "telephone_number": "410-848-9595",
            "fax_number": "410-848-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL KROE,D.D.S.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "KROE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF THE BOARD",
        "authorized_official_telephone_number": "410-848-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "5003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Westminster, MD
• Providers in Westminster, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.