Michael Anastasios Kramer, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18393 Issued in MA

Practice address

616 Boston Post Rd
Suite G
Sudbury, MA 01776-3376

Phone

(978) 440-7003

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fenway Community Health Center, Inc

  • Community Health Clinic/Center
  • Boston, MA
  • NPI 1982995197

  Corporate Director

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1053481077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BOSTON POST RD",
            "address_2": "SUITE G",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763376",
            "telephone_number": "978-440-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BOSTON POST RD",
            "address_2": "SUITE G",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763376",
            "telephone_number": "978-440-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MICHAEL",
        "middle_name": "ANASTASIOS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "18393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Dental Associates
• Ann Bergstresser Kirk, D.D.S
• David Kirk, D.D.S
• James Kirk, D.M.D
• Allison Kobielski, OTR/L
• Jay Barry Krasner, MD
• Kratis LLC
• Kristine E Seibel DMD LLC
• Rachel Kukura
• Lorraine Labiento Smith, OD

• Periodontics in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.