DR. DANIEL A. KRUSE (NPI# 1801077425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801077425 |
| Entity Type | Individual |
| Full Name | DR. DANIEL A. KRUSE |
| Credential | D.D.S., M.S.D. |
| Practice Address |
6208 Kalamazoo Ave Se Kentwood MI 49508-7893 |
| Practice Telephone | 6166564155 |
| Practice Fax Number | 6166564156 |
| Mailing Telephone | 6166564155 |
| Mailing Fax Number | 6166564156 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901015087 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758085 | Daniel Kruse | Student in an Organized Health Care Education/Training Program | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2020-07-29 |
| 1750785317 | Daniel William Kalani Kruse | Physical Medicine & Rehabilitation | 6912 220th St Sw, 200, Mountlake Terrace, WA 98043-2169 | 2014-10-10 |
| 1700917689 | Daniel J Kruse | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2007-03-09 |
| 1992736284 | Daniel J Kruse | Family Medicine | 2900 Foxfield Rd, Suite 200, St Charles, IL 60174-5799 | 2006-07-05 |
| Street Address |
6208 KALAMAZOO AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-7893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327707 | Daniel A. Kruse, D.d.s., M.s.d | Dentist | 6208 Kalamazoo Ave Se, Kentwood, MI 49508-7022 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327707 | Daniel A. Kruse, D.d.s., M.s.d | Dentist | 6208 Kalamazoo Ave Se, Kentwood, MI 49508-7022 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909707 | Craig Mcmullen | Dentist | 44110 W 12 Mile Rd # 100, Novi, MI 48377-2614 | 2020-10-14 |
| 1003425208 | Hsin-chuan Pan | Dentist | 120 N Bridge St Ste C, Linden, MI 48451-8823 | 2020-07-24 |
| 1720697063 | Oakland Orthodontics | Dentist | 2789 Rochester Rd, Troy, MI 48083-1920 | 2020-07-22 |
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1811511538 | Leah Marie Vernacchia | Dentist | 4299 Orchard Lake Rd # 196, West Bloomfield, MI 48323-1681 | 2020-05-29 |
| 1376163345 | Smile Doctors of Michigan PC | Dentist | 13945 Panther Dr, Dewitt, MI 48820-8506 | 2020-04-20 |
| 1306470596 | Siddiqui Orthodontics, PC | Dentist | 2211 Monroe St, Dearborn, MI 48124-3007 | 2020-02-26 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1639738743 | Orthodontics Center of Novi, PC | Dentist | 27250 Wixom Rd Ste B, Novi, MI 48374-1116 | 2019-06-12 |
| 1497218291 | Bradley J. Gauthier, Dds, Ms, PC | Dentist | 441 S Livernois Rd Ste 250, Rochester Hills, MI 48307-2586 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
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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.