Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790894392 Deactivated / Inactive NPI Male Practitioner

Dr. John T Kroeger , DMD

Dentist - General Practice • Effingham, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kroeger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2006
NPI Deactivation Date April 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Kroeger, DMD was a registered Dentist - General Practice practicing in Effingham, IL. Throughout an active medical career spanning 15 years, Dr. Kroeger provided care at the practice location at 444 S WILLOW ST STE 6 until profile deactivation on 2021-04-08.

Practice Location & Contact Primary Location

Practice Address

444 S Willow St Ste 6

Effingham, IL 624013764

Telephone 2173475656

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Effingham, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Effingham, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 08, 2021

Record deactivated on April 08, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 444 S WILLOW ST STE 6, EFFINGHAM, IL 624013764 (Tel: 2173475656)

📍
Updated Business Mailing Address July 08, 2007

Registered at 444 S WILLOW ST STE 6, EFFINGHAM, IL 624013764 (Tel: 2173475656)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KROEGER, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Kroeger. Be the first to share your experience!

Sign in to leave a review for Dr. John Kroeger

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790894392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 08, 2007
Deactivation Date: April 08, 2021

Mailing Address

444 S Willow St Ste 6

Effingham, IL 624013764

Phone: 2173475656

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.