Individual provider Active NPI

Dean Scott Klingenberg, D.C.

  • Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1073919080
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3983 Issued in SC
Practice address
1536 Fording Island Rd
Suite 106
Hilton Head Island, SC 29926-1120
Phone
(616) 610-7743
NPI assigned
Nov 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3983 SC Primary

Addresses

Primary practice location

1536 Fording Island Rd
Suite 106
Hilton Head Island, SC 29926-1120

Mailing address

1536 Fording Island Rd
Suite 106
Hilton Head Island, SC 29926-1120
Phone (616) 610-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001482 SC Practitioner - Chiropractic 8921304700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1536 Fording Island Rd
Suite 106
Hilton Head Island, SC 29926-1144
Phone (843) 837-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3983SCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Chiropractic and Rehabilitation Center Chiropractor CurrentSince Dec 30, 2015 Accepting new patients

Locations

1536 Fording Island Rd
Ste 106
Hilton Head Island, SC 29926
Phone (616) 610-7743

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1073919080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 FORDING ISLAND RD",
            "address_2": "SUITE 106",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261120",
            "telephone_number": "616-610-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 FORDING ISLAND RD",
            "address_2": "SUITE 106",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261120",
            "telephone_number": "616-610-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENBERG",
        "first_name": "DEAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.