Daryl Klopp, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027405L Issued in PA

Practice address

147 Montgomery Ave
Bala Cynwyd, PA 19004-2827

Phone

(610) 664-7795

NPI assigned

Mar 10, 2007

Sex

Male

Sole proprietor

No

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 PA

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

State licenses

Practice roles

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.

• Direct Mobile Dental Services, Inc.

  • General Practice Dentistry
  • Bala Cynwyd, PA
  • NPI 1699809954
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457222400000",
    "number": "1154453678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BROOKFIELD DR",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195222006",
            "telephone_number": "610-944-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042827",
            "telephone_number": "610-664-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPP",
        "first_name": "DARYL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2016-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027405L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Klapper, PT, DPT, MS
• Robert Bruce Kleiman, M.D.
• Lynn Michele Klein, M.D.
• Richard C Kleiner, DMD
• Darin Kleinsmith, PA-C
• Richard Philip Kluft, M.D.
• Jerome Francis Knast, PH.D.
• Helene M. Koch, D.O.
• Christine R. Kodman-Jones, PH.D.
• John P Kohler, MD

• General Practice Dentistry in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; 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.