Organization Active NPI

Klement Family Dental P.a.

  • General Practice Dentistry
  • Saint Petersburg, FL
National Provider Identifier
1952932816
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KLEMENT FAMILY DENTAL P.A.
Doing business as
Klement Family Dental
Practice address
425 22ND Avenue North
Saint Petersburg, FL 33704
Phone
(727) 498-7581
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mr. Stephen Matthew Klement, DMD
Title
Dentist/Owner
Phone
(727) 498-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

425 22ND Avenue North
Saint Petersburg, FL 33704

Mailing address

425 22ND Avenue North
Saint Petersburg, FL 33704
Phone (727) 498-7581

Other names 1

  • Klement Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klement Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 22nd Ave N
Saint Petersburg, FL 33704
Phone (727) 498-7581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1952932816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 22ND AVENUE NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-498-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 22ND AVENUE NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-498-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEMENT FAMILY DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KLEMENT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "727-498-7581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klement Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.