DR. JOSEPH JOHN KRUPA III (NPI# 1427121078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427121078 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JOHN KRUPA III |
| Credential | DDS |
| Practice Address |
3304 Forest Dr Columbia SC 29204-4024 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8035512572 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9256 | SC | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6496 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8995063 | 05 | |
| SC | ZX9256 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2250 Shipyard Blvd, Suite 15, Wilmington, NC 284038024 | 9103993216 | 9103993693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736644 | Joseph Michael Krupa | Podiatrist | 4487 3rd Ave Fl 1, Bronx, NY 10457-1526 | 2018-04-04 |
| Street Address |
3304 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1568877439 | Maxine Myers | Nurse Practitioner | 3304 Forest Dr, Columbia, SC 29204-4024 | 2014-06-30 |
| 1740626621 | Jmp Family Practice Incorporated | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2013-05-17 |
| 1740590157 | Forest Drive Physicians | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2010-10-19 |
| 1104135763 | Ja-rem Enterprises | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1679809958 | Mathew K Woodward | Dentist | 5397 Twin Knolls Rd Ste 18, Columbia, MD 21045-3256 | 2009-10-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1497829311 | Darren Richard Cross | Dentist | 611 Oneil Ct, Columbia, SC 29223-7656 | 2006-11-20 |
| 1194748285 | Paul Edward Cullum | Dentist | 105 Berrywood Dr, Columbia, TN 38401-6409 | 2006-07-26 |
| 1508885682 | Michael Illar Muul | Dentist | 6798 Oak Hall Ln, Suite A1, Columbia, MD 21045-4892 | 2006-07-19 |
| 1952353732 | James Winston Strider Jr. | Dentist | 9310 Two Notch Road, Columbia, SC 29223 | 2006-05-17 |
| 1952376964 | Timothy Thomas Coyle | Dentist | 3015 S Providence Rd, Suite 5, Columbia, MO 65203 | 2006-02-22 |
| 1497720841 | George Alan Hurwitz | Dentist | 10782 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2006-02-21 |
| 1205813227 | Joseph Won-joon Park | Dentist | 1755 Saint Julian Pl, Columbia, SC 29204-2409 | 2005-12-30 |
| Find all providers in COLUMBIA | ||||
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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.