Active NPI
Kalei R Vicars, DMD
- General Practice Dentistry
- Plant City, FL
National Provider Identifier
1437834876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28245
- Practice address
- 111 W Alexander St
Plant City, FL 33563-7155 - Phone
- (813) 708-6732
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28245 | FL | Primary |
Addresses
Primary practice location
111 W Alexander St
Plant City, FL 33563-7155
Mailing address
8851 N 56TH St
Temple Terrace, FL 33617-6203
Phone (813) 381-5628
Other practice location 1
8851 N 56th St
Temple Terrace, FL 33617-6203
Phone (813) 381-5628
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28245 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1437834876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336176203",
"telephone_number": "813-381-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637155",
"telephone_number": "813-708-6732"
}
],
"practiceLocations": [
{
"address_1": "8851 N 56th St",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336176203",
"country_code": "US",
"telephone_number": "813-381-5628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICARS",
"first_name": "KALEI",
"middle_name": "R",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.