Individual provider Active NPI

Jameson Egons Klavins, DDS

  • Dentist
  • Ankeny, IA
National Provider Identifier
1184116758
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09533 Issued in IA
Practice address
319 N Ankeny Blvd
Ankeny, IA 50023-1711
Phone
(515) 965-1653
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-09533 IA Primary

Addresses

Primary practice location

319 N Ankeny Blvd
Ankeny, IA 50023-1711

Mailing address

4914 153Rd St
Urbandale, IA 50323-2298
Phone (515) 745-9504

Other practice location 1

615 E 14th St
Des Moines, IA 50316-3508
Phone (515) 262-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09533IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hintz Family Dentistry Dentist Past Accepting new patients
Iowa ENT Center PLLC PastSince Sep 1, 2012 Accepting new patients
Capital View Dentistry PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1184116758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 153RD ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232298",
            "telephone_number": "515-745-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231711",
            "telephone_number": "515-965-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503163508",
            "country_code": "US",
            "telephone_number": "515-262-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAVINS",
        "first_name": "JAMESON",
        "middle_name": "EGONS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.