Organization Active NPI

Geoffrey a. Klopenstine DDS PC

  • General Practice Dentistry
  • South Bend, IN
National Provider Identifier
1275701369
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009913A Issued in IN
Legal business name
GEOFFREY A. KLOPENSTINE DDS PC
Practice address
51584 US Highway 33
South Bend, IN 46637-1704
Phone
(574) 272-6575
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Geoffrey Allen Klopenstine, DDS
Title
Owner/Dentist
Phone
(574) 272-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009913A IN Primary

Addresses

Primary practice location

51584 US Highway 33
South Bend, IN 46637-1704

Mailing address

51584 US Highway 33
South Bend, IN 46637-1704

National Provider Directory

National Provider Directory

Locations

51584 US Highway 33
South Bend, IN 46637
Phone (574) 272-6575

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1275701369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51584 US HIGHWAY 33",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51584 US HIGHWAY 33",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704",
            "telephone_number": "574-272-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY A. KLOPENSTINE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KLOPENSTINE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "574-272-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.