Gerald C Klein, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010500 Issued in WA

Practice address

3815 S Date St
Kennewick, WA 99337-5840

Phone

(503) 504-2758

NPI assigned

Dec 5, 2006

Last updated

Oct 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223164800000",
    "number": "1225196033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S DATE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375840",
            "telephone_number": "503-504-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S DATE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375840",
            "telephone_number": "503-504-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "GERALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4243",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "082706",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Kirk, DMD
• Valerie F Kirk
• Jeremy Kissell
• Semu Kizito
• Matthew Klatt
• Kleist Bickel DDS PLLC (Midtown Dental)
• Caitlin Klepper, RN
• Thomas Jacob Klicker, LMP
• Veronica Klicker, NP
• Chelsea Klinger

• General Practice Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.