Individual provider Active NPI

Thomas B Krakauer, D.M.D.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1093841009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN00009652 Issued in FL
Practice address
14050 NW 7TH Ave
Miami, FL 33168-6809
Phone
(305) 688-7989
Fax
(305) 681-7948
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN00009652 FL Primary

Addresses

Primary practice location

14050 NW 7TH Ave
Miami, FL 33168-6809

Mailing address

14050 NW 7TH Ave
Miami, FL 33168-6809
Phone (305) 688-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001980 FL Order and Referring Only - DentistPractitioner - Dentist 9638470560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN00009652FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Dental Associates, Inc. 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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093841009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331686809",
            "telephone_number": "305-688-7989",
            "fax_number": "305-681-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331686809",
            "telephone_number": "305-688-7989",
            "fax_number": "305-681-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKAUER",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN00009652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.