Organization Active NPI

TMJ & Sleep Therapy Centre of Northern Indiana

  • Dentist
  • South Bend, IN
National Provider Identifier
1326439787
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011496A Issued in IN
Legal business name
TMJ & SLEEP THERAPY CENTRE OF NORTHERN INDIANA
Practice address
17901 Turners Dr
South Bend, IN 46635-1529
Phone
(574) 968-5166
Fax
(574) 277-5217
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. Daniel G Klauer, DDSNPI 1740592179
Title
Provider
Phone
(574) 968-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12011496A IN Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

17901 Turners Dr
South Bend, IN 46635-1529

Mailing address

17901 Turners Dr
South Bend, IN 46635-1529
Phone (574) 968-5166

National Provider Directory

National Provider Directory

Locations

17901 Turners Dr
South Bend, IN 46635
Phone (574) 272-0466

Practitioners & affiliated clinicians

Practitioners 2

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": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1326439787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 TURNERS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351529",
            "telephone_number": "574-968-5166",
            "fax_number": "574-277-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 TURNERS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351529",
            "telephone_number": "574-968-5166",
            "fax_number": "574-277-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ & SLEEP THERAPY CENTRE OF NORTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KLAUER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "574-968-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011496A",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 6, 2015; 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.