Individual provider Active NPI

Nathan Bradley Klein, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1477559714
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2004013248 Issued in MO
Practice address
7611 State Line Rd Ste 140
Kansas City, MO 64114-6801
Phone
(816) 822-1800
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 2004013248 MO Primary

Addresses

Primary practice location

7611 State Line Rd Ste 140
Kansas City, MO 64114-6801

Mailing address

7611 State Line Rd Ste 140
Kansas City, MO 64114-6801
Phone (816) 822-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20151203001831 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022318682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan B Klein DDS LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

7611 State Line Rd
Ste 140
Kansas City, MO 64114
Phone (816) 822-1800

7611 State Line Rd
Ste 310
Kansas City, MO 64114

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1477559714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD STE 140",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641146801",
            "telephone_number": "816-822-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD STE 140",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641146801",
            "telephone_number": "816-822-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NATHAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004013248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.