Individual provider Active NPI

Jeffrey Lance Kravat, DPM

  • Podiatrist
  • Davie, FL
National Provider Identifier
1659309540
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO569 Issued in FL
Practice address
8600 W State Road 84 Ste B
Davie, FL 33324-4558
Phone
(954) 474-5900
Fax
(954) 727-9805
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO569 FL Primary

Addresses

Primary practice location

8600 W State Road 84 Ste B
Davie, FL 33324-4558

Mailing address

8600 W State Road 84 Ste B
Davie, FL 33324-4558
Phone (954) 474-5900

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George Schwenck DPM PA Past Accepting new patients
Dr.Jeffrey Lance Kravat Podiatrist PastSince Aug 1, 1971 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13934/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1659309540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W STATE ROAD 84 STE B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244558",
            "telephone_number": "954-474-5900",
            "fax_number": "954-727-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W STATE ROAD 84 STE B",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244558",
            "telephone_number": "954-474-5900",
            "fax_number": "954-727-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVAT",
        "first_name": "JEFFREY",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

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

Verify at the official NPI Registry.