DR. SHANE GREGORY KROHNFELDT DDS NPI 1164937421

NPI Information

  • NPI: 1164937421
  • Provider Name: DR. SHANE GREGORY KROHNFELDT, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6425 HOLLY AVE NE
    ALBUQUERQUE, NM
    ZIP 87113
  • Phone: (505) 828-2020

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NPI Details

DR. Shane Gregory Krohnfeldt, DDS is a general practice dentist in Albuquerque, NM. The provider is 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. DR. Shane Gregory Krohnfeldt, DDS NPI is 1164937421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6425 HOLLY AVE NE
ALBUQUERQUE, NM
ZIP 87113-474
Phone: (505) 828-2020

The NPI 1164937421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/8/2017 and was last updated on 11/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDD4823NEW MEXICONo
21223G0001XDentistGeneral Practice103623CALIFORNIANo
31223G0001XDentistGeneral PracticeDD4823NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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