DR. JOHN WILLIAM CRETZMEYER JR. DDS
NPI 1164403267
Dentist - General Practice in Fridley, MN

Q: What is John Cretzmeyer's NPI number?

The NPI number for John Cretzmeyer is 1164403267. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is John Cretzmeyer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Cretzmeyer was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 07, 2005PECOS Enrolled

1099 MOORE LAKE DR E, FRIDLEY, MN 55432(763) 586-9988(763) 586-9977 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. John William Cretzmeyer Jr. Dds NPPES

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

DR. JOHN WILLIAM CRETZMEYER JR. DDS (NPI 1164403267) is an individual general practice provider in Fridley, Minnesota, licensed in Minnesota (8144) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164403267

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN WILLIAM CRETZMEYER JR.Credential: DDS

Location Address1099 MOORE LAKE DR EFridley, MN 55432-5153

Mailing Address1099 Moore Lake Dr EFridley, MN 55432-5153 · (763) 586-9988 · Fax (763) 586-9977

Phone(763) 586-9988

Fax(763) 586-9977

Sole ProprietorNo

Enumeration DateNovember 7, 2005

Last NPPES UpdateJanuary 20, 2011

✔ NPI 1164403267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 8144

Definition

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.

1099 MOORE LAKE DR E, Fridley, MN 55432

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. John William Cretzmeyer Jr. Dds 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 55432 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE VETRANO DDS

Dentist (General Practice)

1099 MOORE LAKE DR E
FRIDLEY, MN 55432

Anoka County (763) 586-9988

BAUMAN VENTURES LLC

Clinic/Center (Dental)

1099 MOORE LAKE DR E
FRIDLEY, MN 55432

Anoka County (763) 614-0454

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 John Cretzmeyer's NPI number?

The NPI number for John Cretzmeyer is 1164403267. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is John Cretzmeyer located?

John Cretzmeyer practices at 1099 Moore Lake Dr E, Fridley, MN 55432. The listed phone number is (763) 586-9988.

What is John Cretzmeyer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Cretzmeyer enrolled in Medicare?

Yes. John Cretzmeyer is registered in the Medicare PECOS enrollment system.

What insurance does John Cretzmeyer 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 John Cretzmeyer 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 John Cretzmeyer was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.