Organization Active NPI

Dr Susan Klyber DDS PC

  • General Practice Dentistry
  • Berwyn, IL
National Provider Identifier
1467621565
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR SUSAN KLYBER DDS PC
Practice address
6725 W Stanley Ave
Suite 6
Berwyn, IL 60402-3156
Phone
(708) 788-7505
Fax
(708) 788-7549
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Susan C Klyber, DDSNPI 1306911128
Title
President
Phone
(708) 788-7505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

6725 W Stanley Ave
Suite 6
Berwyn, IL 60402-3156

Mailing address

6725 W Stanley Ave
Suite 6
Berwyn, IL 60402-3156
Phone (708) 788-7505

National Provider Directory

National Provider Directory

Locations

6725 Stanley Ave
Ste 6
Berwyn, IL 60402
Phone (708) 788-7505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1467621565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 W STANLEY AVE",
            "address_2": "SUITE 6",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023156",
            "telephone_number": "708-788-7505",
            "fax_number": "708-788-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 W STANLEY AVE",
            "address_2": "SUITE 6",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023156",
            "telephone_number": "708-788-7505",
            "fax_number": "708-788-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN KLYBER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "KLYBER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.