Individual provider Active NPI

Ronald L Klein, DMD

  • Dentist
  • North Wales, PA
National Provider Identifier
1376665331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DSO21839L Issued in PA
Practice address
311 N Sumneytown Pike
Suite 2B
North Wales, PA 19454-2533
Phone
(215) 699-4478
Fax
(215) 699-5570
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

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
Dentist 122300000X DSO21839L PA Primary

Addresses

Primary practice location

311 N Sumneytown Pike
Suite 2B
North Wales, PA 19454-2533

Mailing address

311 N Sumneytown Pike
Suite 2B
North Wales, PA 19454-2533
Phone (215) 699-4478

Other identifiers 1

IdentifierTypeStateIssuer
1912918087OtherPATYPE 2 PRACTICE NPI #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO21839LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Wales Family Dentistry PLLC PastSince Nov 24, 2019 Accepting new patients
Hershman Present & Klein DMD Dentist Past Accepting new patients

Organizations & group practices 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376665331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SUMNEYTOWN PIKE",
            "address_2": "SUITE 2B",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542533",
            "telephone_number": "215-699-4478",
            "fax_number": "215-699-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SUMNEYTOWN PIKE",
            "address_2": "SUITE 2B",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542533",
            "telephone_number": "215-699-4478",
            "fax_number": "215-699-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO21839L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 PRACTICE NPI #",
            "identifier": "1912918087",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.