Individual provider Active NPI

Daniel Paul Kraft, MD

  • Pediatrics Physician
  • Boynton Beach, FL
National Provider Identifier
1861493108
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0036720 Issued in FL
Practice address
8200 So. Jog Rd.
#101 Palm Beach Pediatrics
Boynton Beach, FL 33472-2981
Phone
(561) 509-5009
Fax
(561) 738-0556
NPI assigned
Aug 9, 2005
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0036720 FL Primary

Addresses

Primary practice location

8200 So. Jog Rd.
#101 Palm Beach Pediatrics
Boynton Beach, FL 33472-2981

Mailing address

8200 So. Jog Rd.
#203 Palm Beach Pediatrics, PA
Boynton Beach, FL 33472-2981
Phone (561) 327-4960

Other identifiers 2

IdentifierTypeStateIssuer
61108OtherFLBS
067156800MedicaidFL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0036720FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pediatrics, LLC Pediatrics Past 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, 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1861493108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SO. JOG RD.",
            "address_2": "#203 PALM BEACH PEDIATRICS, PA",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-327-4960",
            "fax_number": "561-738-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SO. JOG RD.",
            "address_2": "#101 PALM BEACH PEDIATRICS",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0036720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "61108",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067156800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.