Christopher David Klekamp, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D14048 Issued in MN

Practice address

1351 113TH Ave NE Ste 400B
Blaine, MN 55434-3874

Phone

(763) 415-1222

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Locations

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.

• Hennepin Healthcare System, Inc

  • Rehabilitation Hospital Unit
  • Minneapolis, MN
  • NPI 1033138136
  Medicare reassignment NPD
• Hennepin Healthcare System Inc

  • Specialty Pharmacy
  • Minneapolis, MN
  • NPI 1619567625
  NPD
• Hennepin Healthcare System, Inc

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1407897309
  NPD
• Twin Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Blaine, MN
  • NPI 1558184739
  NPD
• Blaine Kidds Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Blaine, MN
  • NPI 1538678057
  NPD (past)
• St. Croix Kidds Pediatric Dentistry

  • Pediatric Dentistry
  • White Bear Lake, MN
  • NPI 1407131618
  NPD (past)
• Kellogg-Paisley LLC

  • Dentist
  • Brighton, CO
  • NPI 1740440205
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1447614318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 113TH AVE NE STE 400B",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343874",
            "telephone_number": "637-415-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 113TH AVE NE STE 400B",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343874",
            "telephone_number": "763-415-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 2nd St S Ste 250",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540161599",
            "country_code": "US",
            "telephone_number": "715-808-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554041210",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEKAMP",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1002273-15",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D14048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Killian & Milnar Dentistry PLLC
• SE Jin Kim
• Joyce Wangui Kimemia, REGISTERED NURSE
• Kindred Counseling PLLC
• Nicole Kirscher
• Charles William Kline, PHARMACIST
• Mary A Koch, PT
• Diane Koetz, RPH
• Charles Joseph Kopp, OD
• Jessica Kopp

• Pediatric Dentistry in Blaine, MN
• Providers in Blaine, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.