Individual provider Active NPI

Douglas Klein, DDS

  • General Practice Dentistry
  • South Plainfield, NJ
National Provider Identifier
1356492821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI17132 Issued in NJ
Practice address
2110 Maple Ave
South Plainfield, NJ 07080-4744
Phone
(908) 757-6677
Fax
(908) 753-0584
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI17132 NJ Primary

Addresses

Primary practice location

2110 Maple Ave
South Plainfield, NJ 07080-4744

Mailing address

2110 Maple Ave
South Plainfield, NJ 07080-4744
Phone (908) 757-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20150527000978 NJ Order and Referring Only - DentistPractitioner - Dentist 9234459637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI17132NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Arlen MD PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356492821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MAPLE AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070804744",
            "telephone_number": "908-757-6677",
            "fax_number": "908-753-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MAPLE AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070804744",
            "telephone_number": "908-757-6677",
            "fax_number": "908-753-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.