Organization Active NPI

Mitchell J. Klein DDS PA

  • Dentist
  • Lauderhill, FL
National Provider Identifier
1093872152
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13381 Issued in FL
Legal business name
MITCHELL J. KLEIN DDS PA
Practice address
7228 W Oakland Park Blvd
Lauderhill, FL 33313-1041
Phone
(954) 748-4860
NPI assigned
Jan 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Mitchell J Klein, DDSNPI 1750446449
Title
Dentist
Phone
(954) 748-4860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13381 FL Primary

Addresses

Primary practice location

7228 W Oakland Park Blvd
Lauderhill, FL 33313-1041

Mailing address

7228 W Oakland Park Blvd
Lauderhill, FL 33313-1041
Phone (954) 748-4860

Other identifiers 1

IdentifierTypeStateIssuer
071583203MedicaidFL

Other names 1

  • SuperSmiles Doing business as

National Provider Directory

National Provider Directory

Locations

7228 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 670-9363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1093872152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131041",
            "telephone_number": "954-748-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131041",
            "telephone_number": "954-748-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J. KLEIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-748-4860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071583203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperSmiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.