Kelly Klontz DDS,PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4878 Issued in OK

Legal business name

KELLY KLONTZ DDS,PLLC

Practice address

9721 S Pennsylvania Ave
Oklahoma City, OK 73159-6900

Phone

(405) 691-8100

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Kelly James Klontz, DDSNPI 1720194897

Title

Owner

Phone

(405) 691-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly James Klontz, DDS MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oklahoma City, OK
  • NPI 1720194897
  NPD (past) Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1003290545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596900",
            "telephone_number": "405-691-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596900",
            "telephone_number": "405-691-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KLONTZ DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "KLONTZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-691-8100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Kelley
• Kellie Sperry LPC PLLC
• Collyn Michael Kellogg
• Judy Kay Kellogg, ARNP
• Julie Jo Kellogg, LMFT
• Kelly Medical, PC
• Kelly Morgan, LMFT, LLC
• Kelly S. Beals, Inc.
• Amanda Kaye Kelly
• Erika Lauren Kelly, LMSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.