Individual provider Active NPI

Heinz Jurgen Klein, D.M.D.

  • Dentist
  • Campbell, CA
National Provider Identifier
1114133303
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40637 Issued in CA
Practice address
2020 S. Bascom Ave
Ste. 101
Campbell, CA 95008-3269
Phone
(408) 371-1313
Fax
(408) 371-1817
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40637 CA Primary

Addresses

Primary practice location

2020 S. Bascom Ave
Ste. 101
Campbell, CA 95008-3269

Mailing address

2020 S. Bascom Ave. Ste. 101
Campbell, CA 95008-3269
Phone (408) 371-1313

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151229002697 CA Order and Referring Only - DentistPractitioner - Dentist 0547562035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40637CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heinz J. Klein, D.M.D. & Linda R. Kono, D.M.D., Inc. Dentist Past Accepting new patients

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1114133303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S. BASCOM AVE. STE. 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083269",
            "telephone_number": "408-371-1313",
            "fax_number": "408-371-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S. BASCOM AVE",
            "address_2": "STE. 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083269",
            "telephone_number": "408-371-1313",
            "fax_number": "408-371-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HEINZ",
        "middle_name": "JURGEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.