Organization Active NPI

Lawrence J Kales D P M P a

  • Podiatrist
  • Hudson, FL
National Provider Identifier
1194904896
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 1074 Issued in FL
Legal business name
LAWRENCE J KALES D P M P A
Practice address
7117 State Road 52
Hudson, FL 34667-6708
Phone
(727) 868-2128
Fax
(727) 868-7491
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Lawrence J Kales, D P M P ANPI 1720084619
Title
President
Phone
(727) 868-2128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 1074 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X PO 1074 FL

Addresses

Primary practice location

7117 State Road 52
Hudson, FL 34667-6708

Mailing address

7117 State Road 52
Hudson, FL 34667-6708
Phone (727) 868-2128

Other identifiers 5

IdentifierTypeStateIssuer
390198000MedicaidFL
87662OtherFLBCBS
3901980002MedicaidFL
480009820OtherFLMEDICARE RAILROAD
87662UOtherFLMEDICARE PTAN

Other names 1

  • Bayonet Point Foot Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000300 FL Part B Supplier - Clinic/Group Practice 8527965748 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bayonet Point Foot Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1194904896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676708",
            "telephone_number": "727-868-2128",
            "fax_number": "727-868-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676708",
            "telephone_number": "727-868-2128",
            "fax_number": "727-868-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J KALES D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "KALES",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-868-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D P M P A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1074",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO 1074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390198000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87662",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901980002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480009820",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "87662U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayonet Point Foot Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.