DR. JERRY LEE KRONQUIST D.D.S
NPI 1114132636
Dentist - Oral and Maxillofacial Surgery in Santa Ana, CA

Q: What is Jerry Kronquist's NPI number?

The NPI number for Jerry Kronquist is 1114132636. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Jerry Kronquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Kronquist was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2007PECOS Enrolled

1906 N . BROADWAY, SANTA ANA, CA 92706(714) 547-6671(714) 547-4385 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jerry Lee Kronquist D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LEE KRONQUIST D.D.S (NPI 1114132636) is an individual oral and maxillofacial surgery provider in Santa Ana, California, licensed in California (30388) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114132636

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JERRY LEE KRONQUISTCredential: D.D.S

Location Address1906 N . BROADWAYSanta Ana, CA 92706-2610

Mailing Address1906 N BroadwaySanta Ana, CA 92706-2610 · (714) 547-6671 · Fax (714) 547-4385

Phone(714) 547-6671

Fax(714) 547-4385

Sole ProprietorYes

Enumeration DateMay 10, 2007

Last NPPES UpdateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1114132636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 30388

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30388 (CA)

1906 N . BROADWAY, Santa Ana, CA 92706

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lee Kronquist D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Kronquist's NPI number?

The NPI number for Jerry Kronquist is 1114132636. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Jerry Kronquist located?

Jerry Kronquist practices at 1906 N . Broadway, Santa Ana, CA 92706. The listed phone number is (714) 547-6671.

What is Jerry Kronquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jerry Kronquist enrolled in Medicare?

Yes. Jerry Kronquist is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Kronquist accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jerry Kronquist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Kronquist was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.