Active NPI
Gerald McElroy Kluft, D.D.S, F.I.C.D, PFA
- Periodontics
- Tampa, FL
National Provider Identifier
1013028075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6516
- Practice address
- 5208 E Fowler Ave
Suite # F
Tampa, FL 33617-1906 - Phone
- (813) 988-1103
- Fax
- (813) 985-1524
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6516 | FL | Primary |
Addresses
Primary practice location
5208 E Fowler Ave
Suite # F
Tampa, FL 33617-1906
Mailing address
5208 E Fowler Ave
Suite # F
Tampa, FL 33617-1906
Phone (813) 988-1103
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6516 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Periodontal Associates of Tampa Bay, P.a. | Periodontics | Past | Accepting new patients |
| Gerald M. Kluft D.D.S. P.a. | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Tampa, FL
- NPI 1558579334
-
- Periodontics
- Temple Terrace, FL
- NPI 1053606178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013028075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5208 E FOWLER AVE",
"address_2": "SUITE # F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171906",
"telephone_number": "813-988-1103",
"fax_number": "813-985-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5208 E FOWLER AVE",
"address_2": "SUITE # F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171906",
"telephone_number": "813-988-1103",
"fax_number": "813-985-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUFT",
"first_name": "GERALD",
"middle_name": "MCELROY",
"name_prefix": "Dr.",
"credential": "D.D.S, F.I.C.D, PFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "6516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.