Individual provider Active NPI

Richard Stewart Kramer, D.M.D.

  • General Practice Dentistry
  • Jensen Beach, FL
National Provider Identifier
1083849582
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15684 Issued in FL
Practice address
2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone
(772) 334-1965
Fax
(772) 334-1966
NPI assigned
May 28, 2009
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15684 FL Primary

Addresses

Primary practice location

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441

Mailing address

2050 NE Dixie Hwy
Jensen Beach, FL 34957-6441
Phone (772) 334-1965

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

LicenseStateTypeSpecialty
DN15684FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Dental P.a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1083849582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-1965",
            "fax_number": "723-341-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NE DIXIE HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576441",
            "telephone_number": "772-334-1965",
            "fax_number": "772-334-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "RICHARD",
        "middle_name": "STEWART",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.