Cd Ohio Derrick Kruger DDS, Inc.
NPI 1699259606ActiveOrganization· Dentist, General Practice· Blue Ash, OH
Dentist, General Practice in Blue Ash, Ohio, registered in NPPES in September 2018. The authorized official on file is Ty Justice, Director, Credentialing & Payer Rel.
Overview
| NPI | 1699259606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2018 |
| Last updated in NPPES | Jan 6, 2023 |
| Certified by provider | Jan 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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