Active NPI
Jeffrey S Klein, DDS
- Periodontics
- Danbury, CT
National Provider Identifier
1518025659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4988
- Practice address
- 36 Padanaram Rd
Dental Associates of CT PC
Danbury, CT 06811 - Phone
- (203) 748-5717
- Fax
- (203) 748-4340
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4988 | CT | Primary |
Addresses
Primary practice location
36 Padanaram Rd
Dental Associates of CT PC
Danbury, CT 06811
Mailing address
36 Padanaram Rd
Dental Associates of CT PC
Danbury, CT 06811
Phone (203) 748-5717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4988 | CT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates of CT PC | Periodontics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Danbury, CT
- NPI 1366571077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518025659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 PADANARAM RD",
"address_2": "DENTAL ASSOCIATES OF CT PC",
"city": "DANBURY",
"state": "CT",
"postal_code": "06811",
"telephone_number": "203-748-5717",
"fax_number": "203-748-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 PADANARAM RD",
"address_2": "DENTAL ASSOCIATES OF CT PC",
"city": "DANBURY",
"state": "CT",
"postal_code": "06811",
"telephone_number": "203-748-5717",
"fax_number": "203-748-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "4988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.