GARY D. KRUEGER, DDS, APC (NPI# 1225457328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225457328 |
| Entity Type | Organization |
| Organization Name | GARY D. KRUEGER, DDS, APC |
| Practice Address |
320 Santa Fe Dr Suite 201 Encinitas CA 92024-5138 |
| Mailing Address |
320 Santa Fe Drive Suite 201 Encinitas CA 92024-5140 |
| Practice Telephone | 7604790961 |
| Practice Fax Number | 7604790963 |
| Mailing Telephone | 7604790961 |
| Mailing Fax Number | 7604790963 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | GARY DOUGLAS KRUEGER (MAXILLOFACIAL PROSTHODONTIST) |
| Authorized Official Telephone | 7604790961 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
42347 | NY | Dental Providers |
| Street Address |
320 SANTA FE DR SUITE 201 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642478 | Robert Lee Stephenson | Internal Medicine | 320 Santa Fe Dr, Suite 303, Encinitas, CA 92024-5138 | 2005-07-12 |
| 1427673722 | Ma. Kathleene Puno | Registered Nurse | 320 Santa Fe Dr, Encinitas, CA 92024-5138 | 2020-06-11 |
| 1376933887 | Comprehensive Surgical Associates Md PC | Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5138 | 2015-02-04 |
| 1144635582 | Integrated Dermatology of Encinitas, PC | Dermatology | 320 Santa Fe Dr, Suite 310, Encinitas, CA 92024-5138 | 2014-06-24 |
| 1891117941 | Encinitas Womens Health Inc. | Obstetrics & Gynecology | 320 Santa Fe Dr, Suite Ll4, Encinitas, CA 92024-5138 | 2014-01-09 |
| 1376971655 | Jamieson Glenn, Md, Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-10-23 |
| 1770919052 | Timothy A. Peppers, M.d., Inc. | Orthopaedic Surgery | 320 Santa Fe Dr, Suite 300, Encinitas, CA 92024-5140 | 2013-09-19 |
| 1144653528 | Check Point Transition Clinic, Inc. | Internal Medicine | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2013-08-20 |
| 1689019630 | Laraine Marie Lipori | Psychologist | 320 Santa Fe Dr, Suite 100, Encinitas, CA 92024-5138 | 2013-05-03 |
| 1538411475 | Mary Carol Reeder | Nurse Practitioner | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531824 | Craig Donald Pearson | Dentist | 2235 Encinitas Blvd, Suite 100, Encinitas, CA 92024-4355 | 2006-10-12 |
| 1710076070 | Jiyoung Kim | Dentist | 2235 Encinitas Blvd, Suite 100, Encinitas, CA 92024-4355 | 2006-10-12 |
| 1598783664 | Gary Douglas Krueger | Dentist | 320 Santa Fe Dr, Suite #201, Encinitas, CA 92024-5138 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
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| 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.