Klym Entities PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901016991 Issued in MI

Legal business name

KLYM ENTITIES PLLC

Practice address

2044 E Mitchell Rd
Petoskey, MI 49770-9603

Phone

(231) 347-2188

Fax

(231) 347-3206

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brian P Klym, DDS

Title

Owner

Phone

(231) 947-7202

Specialties & licenses 1

Addresses

Other names 1

• Brian Klym DDS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney J Grambeau Jr., DDS

  • General Practice Dentistry
  • Petoskey, MI
  • NPI 1396805867
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1265930200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 FRANKLIN WOODS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861903",
            "telephone_number": "231-631-1929",
            "fax_number": "231-933-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709603",
            "telephone_number": "231-347-2188",
            "fax_number": "231-347-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLYM ENTITIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "KLYM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-947-7202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Klym DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A King, LPC
• Tiffany Kiper, LMSW
• Thomas William Kirkby, DPT
• Brooke Kleinert
• Gerald Klooster II, D.O.
• Colin Brennan Knipper, PA
• David Scott Knitter, MD
• Lindsay Ann Knitter, PA-C
• Randall Koch, MS, LPC
• Amy Therese Kolb, OT

• Dentist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.