Active NPI
Jason Klausmeyer, D.M.D.
- Dentist
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16043
- Practice address
- 8211 S Holly St
Centennial, CO 80122-4003 - Phone
- (303) 290-6006
- NPI assigned
- Jul 28, 2015
- Last updated
- Jul 22, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16043 | MD | Primary |
Addresses
Primary practice location
8211 S Holly St
Centennial, CO 80122-4003
Mailing address
310B Mill Pond Rd
Frederick, MD 21701-1916
Other practice location 1
84 Thomas Johnson Ct
Frederick, MD 21702-4678
Phone (301) 662-9133
Other practice location 2
801 Pleasant Dr Ste 160
Rockville, MD 20850-5831
Phone (240) 683-8111
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 |
|---|---|---|---|
| 16043 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dental Group, LLC | Dentist | Current | Accepting new patients |
| Rouhanian Dental Associates LLC | Past | Accepting new patients | |
| Perfect Teeth - South Holly Street P.C. | Past | Accepting new patients | |
| David a. Pinsky DDS, PA | Dentist | Past | Accepting new patients |
| Gregory W Weakley DDS PA | Dentist | Past | Accepting new patients |
Locations
801 Pleasant Dr
Ste 160
Rockville, MD 20850
Phone (240) 683-8111
Organizations & group practices 5
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.
-
dba State of the Art Dental Group
- General Practice Dentistry
- Rockville, MD
- NPI 1346989522
-
- General Practice Dentistry
- Centennial, CO
- NPI 1558482034
-
- Dentist
- Rockville, MD
- NPI 1649613480
-
- Dentist
- Frederick, MD
- NPI 1902052582
-
dba H. Gakavian, DDS PA
- General Practice Dentistry
- Silver Spring, MD
- NPI 1457015158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1336524685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310B MILL POND RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217011916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8211 S HOLLY ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801224003",
"telephone_number": "303-290-6006"
}
],
"practiceLocations": [
{
"address_1": "84 Thomas Johnson Ct",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024678",
"country_code": "US",
"telephone_number": "301-662-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Pleasant Dr Ste 160",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208505831",
"country_code": "US",
"telephone_number": "240-683-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLAUSMEYER",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.