Organization Active NPI

William a. Klenk DDS, Inc.

  • General Practice Dentistry
  • Hico, WV
National Provider Identifier
1255582219
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV 2864 Issued in WV
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
William Adam Klenk, DDSNPI 1548246945
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0132483000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.