Cd Ohio Derrick Kruger DDS, Inc.
NPI 1720838550ActiveOrganization· Dentist, General Practice· Ashtabula, OH
Dentist, General Practice in Ashtabula, Ohio, registered in NPPES in March 2024. The authorized official on file is Ty Justice, Director, Credentialing.
Overview
| NPI | 1720838550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2024 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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