Andre Tran Klein, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7549 Issued in LA

Practice address

4243 Ambassador Caffery Pkwy Ste 118
Lafayette, LA 70508-7268

Phone

(337) 422-3587

NPI assigned

Jun 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Jacob Dent, DDS Lafayette Modern Dentistry, a Professional Corporation

  • Dentist
  • Lafayette, LA
  • NPI 1538530381
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1346989555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 SCHILLINGER RD S APT 1905",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366956025",
            "telephone_number": "832-971-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 AMBASSADOR CAFFERY PKWY STE 118",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087268",
            "telephone_number": "337-422-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ANDRE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0007089-C1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kirkpatrick, FNP-C
• Therese Kirkpatrick I, LMSW
• Altoria Kirundu
• Kite Clinic LLC
• Kite Mental Health LLC
• KMH Psychiatry LLC
• Theodore Knatt Sr., M.D.
• Kirk Francis Knecht, ANP-BC
• Alexa L Knight
• Kristopher Knox

• General Practice Dentistry in Lafayette, LA
• Providers in Lafayette, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.