OrganizationActive
Cd Ohio Derrick Kruger DDS, Inc.
NPI 1720838550 · General Practice Dentistry · Ashtabula, OH
Cd Ohio Derrick Kruger DDS, Inc. is a General Practice Dentistry organization in Ashtabula, OH (NPI 1720838550).
Provider details
- NPI number
- 1720838550
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ty Justice, Director, Credentialing(513) 808-4984
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2010 W 19th St
Ashtabula, OH 44004-9709
Phone: (440) 992-2700
Fax: (440) 964-0542
Street-level locationGet directions
Mailing address
9825 Kenwood Rd Ste 200
Blue Ash, OH 45242-6252
Other names (DBA / former)
- Doing business as
- The Healthy Smile Center
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Cd Ohio Derrick Kruger DDS, Inc.'s NPI number?
- Cd Ohio Derrick Kruger DDS, Inc.'s National Provider Identifier (NPI) is 1720838550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cd Ohio Derrick Kruger DDS, Inc.?
- Cd Ohio Derrick Kruger DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cd Ohio Derrick Kruger DDS, Inc. located?
- Cd Ohio Derrick Kruger DDS, Inc.'s practice location on file with NPPES is 2010 W 19th St, Ashtabula, OH 44004-9709.
- What is Cd Ohio Derrick Kruger DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Cd Ohio Derrick Kruger DDS, Inc. is (440) 992-2700.
- Who is the authorized official for Cd Ohio Derrick Kruger DDS, Inc.?
- The authorized official listed on Cd Ohio Derrick Kruger DDS, Inc.'s NPPES record is Ty Justice, Director, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cd Ohio Derrick Kruger DDS, Inc.'s NPI active?
- Yes — Cd Ohio Derrick Kruger DDS, Inc.'s NPI (1720838550) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.