Active NPI
Richard Klein, DDS
- General Practice Dentistry
- Smithtown, NY
National Provider Identifier
1275613275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035156
- Practice address
- 496 Smithtown Byp
Suite 300
Smithtown, NY 11787-5005 - Phone
- (631) 360-8000
- Fax
- (631) 724-7988
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035156 | NY | Primary |
Addresses
Primary practice location
496 Smithtown Byp
Suite 300
Smithtown, NY 11787-5005
Mailing address
496 Smithtown Byp
Suite 300
Smithtown, NY 11787-5005
Phone (631) 360-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035156 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Klein DDS, PC | Past | Accepting new patients | |
| Ny Metro Dental, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275613275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SMITHTOWN BYP",
"address_2": "SUITE 300",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875005",
"telephone_number": "631-360-8000",
"fax_number": "631-724-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SMITHTOWN BYP",
"address_2": "SUITE 300",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875005",
"telephone_number": "631-360-8000",
"fax_number": "631-724-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.