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Cd Ohio Derrick Kruger DDS, Inc.

Pediatric Dentistry in Middletown, OH · enumerated 2022 · authorized official Ty Justice, Director, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134844517

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Registry record

Entity type Organization (Type 2)
Legal business name Cd Ohio Derrick Kruger DDS, Inc.
Other name <Unavail>
Practice address 210 S Breiel Blvd, Middletown, OH, 45044
Fax (513) 423-4188
Enumeration date Oct 7, 2022
Last updated in NPPES May 25, 2023

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Ty Justice
Title Director, Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Cd Ohio Derrick Kruger DDS, Inc.?
Cd Ohio Derrick Kruger DDS, Inc. is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-25.