DR. KENNETH R. KRUEGER (NPI# 1134132269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134132269 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R. KRUEGER |
| Credential | DDS |
| Practice Address |
4118 Mccullough Ave Ste 4 San Antonio TX 78212-1905 |
| Practice Telephone | 2108263946 |
| Practice Fax Number | 2108266733 |
| Mailing Telephone | 2108263946 |
| Mailing Fax Number | 2108266733 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
11753 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159231 | Kenneth J Krueger | Podiatrist | 4725 Statesmen Dr Ste A, Indianapolis, IN 46250-5645 | 2005-10-24 |
| 1780128934 | Kenneth Dayton Krueger | Counselor | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2016-12-07 |
| Street Address |
4118 MCCULLOUGH AVE STE 4 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1851815922 | Jenna Claire Hyer | Dentist | 7703 Floyd Curl Dr # 7894, San Antonio, TX 78229-3901 | 2017-08-01 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1275070328 | Mylinh Duong | Dentist | 8210 Floyd Curl Dr - Uthscsa, Graduate Periodontics - Msc 8122, San Antonio, TX 78229-3923 | 2017-01-27 |
| 1558815043 | Babak Najafi-abrandabadi | Dentist | 5718 University Hts Ste 201, San Antonio, TX 78249-1120 | 2016-08-12 |
| 1407249865 | Andrew Weber, D.m.d., M.s., Pllc | Dentist | 14500 San Pedro Ave Ste 200, San Antonio, TX 78232-4354 | 2015-03-10 |
| 1821430919 | Anukampa Dutt | Dentist | 19115 Prescott Oaks, San Antonio, TX 78258 | 2013-07-18 |
| 1427322825 | Network Provider Associates, P.C. | Dentist | 6028 Worth Parkway, Suite 101, San Antonio, TX 78257-5071 | 2012-03-02 |
| 1659698215 | South Texas Periodontal Associates | Dentist | 6502 Bandera Rd Ste 102, San Antonio, TX 78238-1445 | 2010-04-22 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on DR. KENNETH R. KRUEGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.