Active NPI
Eric Timothy Kline, DMD
- Dentist
- Bradenton, FL
National Provider Identifier
1003665746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29168
- Practice address
- 1602 Cortez Rd W
Bradenton, FL 34207-1440 - Phone
- (941) 708-6504
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29168 | FL | Primary |
Addresses
Primary practice location
1602 Cortez Rd W
Bradenton, FL 34207-1440
Mailing address
5020 Cedar Leaf Cir 30
Palmetto, FL 34221
Phone (602) 326-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29168 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1003665746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 CEDAR LEAF CIR 30",
"city": "PALMETTO",
"state": "FL",
"postal_code": "34221",
"telephone_number": "602-326-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 CORTEZ RD W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071440",
"telephone_number": "941-708-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "ERIC",
"middle_name": "TIMOTHY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-15",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "29168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.