Active NPI
Caryn Kleiman, D.D.S.
- Dentist
- Gainesville, FL
National Provider Identifier
1407265374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DRP1224
- Practice address
- 1395 Center Dr
D1-19C
Gainesville, FL 32610-3006 - Phone
- (352) 273-6910
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- No
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 | DRP1224 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr
D1-19C
Gainesville, FL 32610-3006
Mailing address
1401 Forum Way
Ste 800
West Palm Beach, FL 33401-2322
Phone (561) 682-0999
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229000528 | FL | Order and Referring Only - Dentist | 6103111539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRP1224 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Prosthodontics, LLC | 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 and National Provider Directory roles.
-
- Prosthodontics
- West Palm Beach, FL
- NPI 1477793933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1407265374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 FORUM WAY",
"address_2": "STE 800",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012322",
"telephone_number": "561-682-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR",
"address_2": "D1-19C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "352-273-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIMAN",
"first_name": "CARYN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRP1224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.