Active NPI
Lawrence J Kales D P M P a
- Podiatrist
- Hudson, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 1074
- 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
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 A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390198000 | Medicaid | FL | |
| 87662 | Other | FL | BCBS |
| 3901980002 | Medicaid | FL | |
| 480009820 | Other | FL | MEDICARE RAILROAD |
| 87662U | Other | FL | MEDICARE PTAN |
Other names 1
- Bayonet Point Foot Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Hudson, FL
- NPI 1023015658
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Hudson, FL
- NPI 1720084619
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.