Individual provider Active NPI

Stephen Klement, DMD

  • Dentist
  • Saint Petersburg, FL
National Provider Identifier
1790231058
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22094 Issued in FL
Practice address
7650 38TH Ave N
Saint Petersburg, FL 33710-1233
Phone
(727) 343-8831
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22094 FL Primary

Addresses

Primary practice location

7650 38TH Ave N
Saint Petersburg, FL 33710-1233

Mailing address

7650 38TH Ave N
Saint Petersburg, FL 33710-1233
Phone (727) 343-8831

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161027002497 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466730387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Klement Family Dental, P.a. PastSince Oct 20, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1790231058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101233",
            "telephone_number": "727-343-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101233",
            "telephone_number": "727-343-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENT",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.