Active NPI
Jacob Klenke, DDS
- Dentist
- Lakewood, CO
National Provider Identifier
1356235188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00206364
- Practice address
- 7611 W Colfax Ave Unit D
Lakewood, CO 80214-5424 - Phone
- (720) 412-6368
- NPI assigned
- Jun 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | DEN.00206364 | CO | Primary |
Addresses
Primary practice location
7611 W Colfax Ave Unit D
Lakewood, CO 80214-5424
Mailing address
845 Coventry Ridge Rd
Villa Ridge, MO 63089-2434
Phone (636) 234-4269
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 |
|---|---|---|---|
| DEN.00206364 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1356235188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 COVENTRY RIDGE RD",
"city": "VILLA RIDGE",
"state": "MO",
"postal_code": "630892434",
"telephone_number": "636-234-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 W COLFAX AVE UNIT D",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802145424",
"telephone_number": "720-412-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLENKE",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00206364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.