Organization Active NPI

Brian S Klohn DMD PA

Doing business as Lakehurst Dental

  • Dentist
  • Lakehurst, NJ
National Provider Identifier
1245341320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DIO17801 Issued in NJ
Legal business name
BRIAN S KLOHN DMD PA
Doing business as
Lakehurst Dental
Practice address
19 Union Ave
Lakehurst, NJ 08733
Phone
(732) 657-7400
Fax
(732) 657-2200
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian S Klohn, DMDNPI 1841430618
Title
Owner Dentist
Phone
(732) 657-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DIO17801 NJ Primary

Addresses

Primary practice location

19 Union Ave
Lakehurst, NJ 08733

Mailing address

19 Union Ave
Lakehurst, NJ 08733
Phone (732) 657-7400

Other names 1

  • Lakehurst Dental Doing business as

National Provider Directory

National Provider Directory

Locations

19 Union Ave
Lakehurst, NJ 08733
Phone (732) 657-6521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245341320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 UNION AVE",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "08733",
            "telephone_number": "732-657-7400",
            "fax_number": "732-657-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 UNION AVE",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "08733",
            "telephone_number": "732-657-7400",
            "fax_number": "732-657-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S KLOHN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOHN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "732-657-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DIO17801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakehurst Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakehurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.