Nancy Ellen Klein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020096 Issued in IL

Practice address

711 Orchard St Ste 1
Deerfield, IL 60015-3107

Phone

(847) 254-6244

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1083617070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 RIDGELEE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354348",
            "telephone_number": "847-831-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ORCHARD ST STE 1",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153107",
            "telephone_number": "847-254-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Kim, PHARM D.
• Paul Kim, MPT
• Amy Drueck Kingan, PSYD
• Fradine L. Kipnis, LPC
• KJL for Life, Inc
• Katherine Dawn Klingenberg
• Grant Klotzbuecher, DPT, ATC
• Angelica Kociolek, MA
• Albert Kohen, LMT
• Olga V. Konyakova, LCSW, CADC

• General Practice Dentistry in Deerfield, IL
• Providers in Deerfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.