NPIMap

Organization Active NPI

Klement Jungman & Varga DDS PA

  • Dentist
  • Bradenton, FL
National Provider Identifier
1376550426
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN6193 Issued in FL
Legal business name
KLEMENT JUNGMAN & VARGA DDS PA
Practice address
2103 59TH St W
Bradenton, FL 34209
Phone
(941) 792-2766
Fax
(941) 795-7531
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Dr. Robert J KlementNPI 1255447397
Title
Doctor
Phone
(941) 792-2766

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN6193 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN9109 FL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN11099 FL
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DN15328 FL

Addresses

Primary practice location

2103 59TH St W
Bradenton, FL 34209

Mailing address

2103 59TH St W
Bradenton, FL 34209
Phone (941) 792-2766

Other identifiers 1

IdentifierTypeStateIssuer
593645550OtherFLTAX ID

Other names 1

  • Sundent Care LLC and Zamikoff Klement Jungman DDS PA Other name

National Provider Directory

National Provider Directory

Locations

2103 59th St W
Bradenton, FL 34209
Phone (941) 792-2766

Practitioners & affiliated clinicians

Practitioners 7

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1376550426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-2766",
            "fax_number": "941-795-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-2766",
            "fax_number": "941-795-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEMENT JUNGMAN & VARGA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "KLEMENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "941-792-2766",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN6193",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9109",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11099",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN15328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593645550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundent Care LLC and Zamikoff Klement Jungman DDS PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sundent Care LLC and Zamikoff Klement Jungman DDS PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.