Nicole Klein, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20162 Issued in FL

Practice address

200 Avenue K SE Ste 1
Winter Haven, FL 33880-4003

Phone

(863) 299-2192

NPI assigned

Jun 24, 2013

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 14, 2021 through Apr 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Nicole R. Klein DMD PA

  dba Nicole Klein DMD

  • Dental Clinic/Center
  • Winter Haven, FL
  • NPI 1639867831
  NPD Authorized official
• Herman Singh DMD PLLC

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1760290936
  NPD (past)
• SNJ Dental Studio, LLC

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1083474340
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1336588375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE STE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804003",
            "telephone_number": "863-299-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE STE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804003",
            "telephone_number": "863-299-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NICOLE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King's Medical Transportation LLC
• Andrea Kinsler
• Amanda Kirk
• Mary D. Kirkland
• Tyler Donald Klawinski
• Scott Evan Klein, DO
• Kleine Pediatrics
• Josef S. Kleine, MD
• Christopher John Kline, M.D.
• KMP Home Care LLC

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.