GERARD E. KRUEGER (NPI# 1982851440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982851440 |
| Entity Type | Individual |
| Full Name | GERARD E. KRUEGER |
| Credential | DDS,MS,FACP |
| Practice Address |
7801 38th Ave N Saint Petersburg FL 33710-1107 |
| Practice Telephone | 7273452064 |
| Practice Fax Number | 7273451645 |
| Mailing Telephone | 7273452064 |
| Mailing Fax Number | 7273451645 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
9655 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSSBLUESHEILD | 67835 | 01 |
| Street Address |
7801 38TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33710-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
|---|---|---|---|---|
| 1306861653 | Craig Livezey Nelson | Dentist | Va Health Care System, 10,000 Bay Pines Boulvard, Saint Petersburg, FL 33708 | 2006-07-13 |
| 1952426439 | Kimberley Danley Daxon | Dentist | 111 2nd Ave Ne, Suite #1104, Saint Petersburg, FL 33701-3434 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
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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.