NPIMap

Organization Active NPI

Eric Klein DMD PC

  • Dentist
  • Cambridge, MA
National Provider Identifier
1063623031
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MA14361 Issued in MA
Legal business name
ERIC KLEIN DMD PC
Practice address
2400 Massachusetts Ave
Cambridge, MA 02140
Phone
(617) 547-9100
Fax
(617) 547-2962
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Elisha Frank
Title
Treasurer Bus MGR
Phone
(617) 547-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X MA14361 MA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MA14361 MA

Addresses

Primary practice location

2400 Massachusetts Ave
Cambridge, MA 02140

Mailing address

2400 Massachusetts Avenue
Cambridge, MA 02140
Phone (617) 547-9100

Other names 1

  • Eric Klein DMD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Eric Klein DMD2 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

2400 Massachusetts Ave
Cambridge, MA 02140
Phone (617) 547-9100

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1063623031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVENUE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-547-9100",
            "fax_number": "617-547-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-547-9100",
            "fax_number": "617-547-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC KLEIN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "TREASURER BUS MGR",
        "authorized_official_telephone_number": "617-547-9100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA14361",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA14361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Klein DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.