Active NPI
William a. Klenk DDS, Inc.
- General Practice Dentistry
- Hico, WV
National Provider Identifier
1255582219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WV 2864
- Legal business name
- WILLIAM A. KLENK DDS, INC.
- Practice address
- 26496 Midland Trail
Hico, WV 25854-0497 - Phone
- (304) 658-5282
- Fax
- (304) 658-5299
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Adam Klenk, DDS
- Title
- President
- Phone
- (304) 658-5282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WV 2864 | WV | Primary |
Addresses
Primary practice location
26496 Midland Trail
Hico, WV 25854-0497
Mailing address
PO Box 497
26496 Midland Trail
Hico, WV 25854-0497
Phone (304) 658-5282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132483000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Dentist
- Hico, WV
- NPI 1548246945
-
- General Practice Dentistry
- Hico, WV
- NPI 1912574286
-
- General Practice Dentistry
- Hico, WV
- NPI 1538318340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1255582219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"address_2": "26496 MIDLAND TRAIL",
"city": "HICO",
"state": "WV",
"postal_code": "258540497",
"telephone_number": "304-658-5282",
"fax_number": "304-658-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26496 MIDLAND TRAIL",
"city": "HICO",
"state": "WV",
"postal_code": "258540497",
"telephone_number": "304-658-5282",
"fax_number": "304-658-5299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM A. KLENK DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "KLENK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-658-5282",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "WV 2864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132483000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hico, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.