Carrie A. Klene, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

12010745A Issued in IN

Practice address

715 W Carmel Dr Ste 102
Carmel, IN 46032-5881

Phone

(317) 208-5525

Fax

(317) 208-1018

NPI assigned

Feb 15, 2007

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 IN

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1083757355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR STE 102",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325881",
            "telephone_number": "317-208-5525",
            "fax_number": "317-208-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR STE 102",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325881",
            "telephone_number": "317-208-5525",
            "fax_number": "317-208-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENE",
        "first_name": "CARRIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "12010745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris D'Wayne Kizer, COTA/L
• Stephen Roth Klapper, MD FACS
• Seth H. Kleiman, M.A., LMHC
• Elizabeth Delores Klein, PA
• Amy Lynn Klemann, FNP-C
• Kourtney Jane Klepfer, LCSW
• Sophia Kleyla, RBT
• Kline Chiropractic
• Heidi Kline, DC
• Elizabeth Klisiewicz, BSN, RN

• Oral & Maxillofacial Surgery (D.M.D.) in Carmel, IN
• Providers in Carmel, IN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.