Active NPI
Kenneth Michael Krat, DDS
- Dentist
- Boca Raton, FL
National Provider Identifier
1366525636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN9254
- Practice address
- 2901 Clint Moore Rd Ste 6
Boca Raton, FL 33496-2044 - Phone
- (561) 997-0061
- Fax
- (561) 997-5887
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN9254 | FL | Primary |
Addresses
Primary practice location
2901 Clint Moore Rd Ste 6
Boca Raton, FL 33496-2044
Mailing address
2901 Clint Moore Rd Ste 6
Boca Raton, FL 33496-2044
Phone (561) 997-0061
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN9254 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1366525636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 CLINT MOORE RD STE 6",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962044",
"telephone_number": "561-997-0061",
"fax_number": "561-997-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 CLINT MOORE RD STE 6",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962044",
"telephone_number": "561-997-0061",
"fax_number": "561-997-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAT",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN9254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.