John Klooster, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009027 Issued in IN

Practice address

2918 S Reed Rd
Kokomo, IN 46902-3991

Phone

(765) 455-9800

Fax

(765) 455-9898

NPI assigned

Feb 25, 2009

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

State licenses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1326288705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023991",
            "telephone_number": "765-455-9800",
            "fax_number": "765-455-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOOSTER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kirubakaran
• Nicole Kiser
• Sarah Kistler
• Tristan Kizer
• Sarah Klinghagen, LMHC
• Samuel Kluesner, PHARMD, BCPS
• Samantha Jo Knarr, LMHC
• Kneeded Balance and Tranquility
• Brandi A. Knepley, RN, MSN, NP-C
• Felicia Marie Knight, RBT

• General Practice Dentistry in Kokomo, IN
• Providers in Kokomo, 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 Oct 26, 2016; 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.