Geoffrey Allen Klopenstine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009913A Issued in IN

Practice address

52120 Indiana 933
South Bend, IN 46637-1704

Phone

(574) 386-0527

Fax

(574) 386-1292

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Klopenstine Family Dentistry PC

  • Dentist
  • South Bend, IN
  • NPI 1598034894
  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1306951793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52120 INDIANA STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52120 INDIANA 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466371704",
            "telephone_number": "574-386-0527",
            "fax_number": "574-386-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPENSTINE",
        "first_name": "GEOFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall I Kline, D.P.M.
• Sharon K Klingerman, N.P.
• Edward F Klodzinski, LMHC
• Marcie B Kloosterman, SLP
• Klopenstine Family Dentistry PC
• Channah C Klor, FNP-BC
• Rachael Klowetter
• Kathleen B Kmitta, MS
• Amy Eileen Knapp, LCSW
• Jennifer S. Knapp, D.O.

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.