Individual provider Active NPI

Robert M Klaich, D.M.D.

  • General Practice Dentistry
  • Cranberry Township, PA
National Provider Identifier
1407926736
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036396 Issued in PA
Practice address
10011 Pendleton Way
Cranberry Township, PA 16066-6900
Phone
(724) 776-2280
Fax
(724) 776-0242
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 DS036396 PA Primary

Addresses

Primary practice location

10011 Pendleton Way
Cranberry Township, PA 16066-6900

Mailing address

10011 Pendleton Way
Cranberry Township, PA 16066-6900
Phone (724) 776-2280

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

LicenseStateTypeSpecialty
DS036396PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Dental Inc General Practice CurrentSince Oct 6, 2024 Accepting new patients

Locations

20820 Route 19
Cranberry Twp, PA 16066
Phone (412) 432-7909

10011 Pendleton Way
Cranberry Twp, PA 16066
Phone (724) 776-2280

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1407926736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 PENDLETON WAY",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666900",
            "telephone_number": "724-776-2280",
            "fax_number": "724-776-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PENDLETON WAY",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666900",
            "telephone_number": "724-776-2280",
            "fax_number": "724-776-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAICH",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.