Active NPI
H. Raymond Klein, D.D.S., P.a.
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1497893697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN3351
- Legal business name
- H. RAYMOND KLEIN, D.D.S., P.A.
- Practice address
- 943 Cesery Blvd
Jacksonville, FL 32211-5635 - Phone
- (904) 743-2000
- Fax
- (904) 725-8569
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 29, 2008
- 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
- H. Raymond Klein, D.D.S.
- Title
- Pres.
- Phone
- (904) 743-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN3351 | FL | Primary |
Addresses
Primary practice location
943 Cesery Blvd
Jacksonville, FL 32211-5635
Mailing address
943 Cesery Blvd
Jacksonville, FL 32211-5635
Phone (904) 743-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073459400 | Medicaid | FL | |
| 071684700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1497893697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 CESERY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115635",
"telephone_number": "904-743-2000",
"fax_number": "904-725-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 CESERY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115635",
"telephone_number": "904-743-2000",
"fax_number": "904-725-8569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. RAYMOND KLEIN, D.D.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "H.",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRES.",
"authorized_official_telephone_number": "904-743-2000",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN3351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073459400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071684700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- GWK Home of Comfort LLC II
- Raymond Gyarmathy, MD
- Elizabeth Ann Gyland, ARNP
- Sylvia Gyrion
- H. a. Beaver, III Dental Associates
- H&K Compassion Care LLC
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Florida LLC (H2 Health)
- H2 Rehabilitation Services of Florida LLC (H2 Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.