Active NPI
Walter Douglas Klein, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Richland, WA
National Provider Identifier
1487786844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DE00004943
- Practice address
- 725 Swift Blvd
Ste a
Richland, WA 99352 - Phone
- (509) 943-6686
- Fax
- (509) 946-0462
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DE00004943 | WA | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | D4952 | OR |
Addresses
Primary practice location
725 Swift Blvd
Ste a
Richland, WA 99352
Mailing address
725 Swift Blvd
Ste a
Richland, WA 99352
Phone (509) 943-6686
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
| License | State | Type | Specialty |
|---|---|---|---|
| D4952 | OR | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1487786844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SWIFT BLVD",
"address_2": "STE A",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-943-6686",
"fax_number": "509-946-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 SWIFT BLVD",
"address_2": "STE A",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-943-6686",
"fax_number": "509-946-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "WALTER",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "DE00004943",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "OR",
"license": "D4952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.