Active NPI
Lydia Ann Klufas, DDS
- Dentist
- Cumberland, RI
National Provider Identifier
1598891780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2202
- Practice address
- 525 Broad St Ste 101
Cumberland, RI 02864-6919 - Phone
- (401) 725-3707
- NPI assigned
- Feb 24, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2202 | RI | Primary |
Addresses
Primary practice location
525 Broad St Ste 101
Cumberland, RI 02864-6919
Mailing address
525 Broad St Ste 101
Cumberland, RI 02864-6919
Phone (401) 725-3707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LK03955 | Medicaid | RI |
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 |
|---|---|---|---|
| 2202 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1598891780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BROAD ST STE 101",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028646919",
"telephone_number": "401-725-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BROAD ST STE 101",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028646919",
"telephone_number": "401-725-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUFAS",
"first_name": "LYDIA",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "2202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LK03955",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.