Organization Active NPI

Rodney J. Klima, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burke, VA
National Provider Identifier
1518395367
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401004660 Issued in VA
Legal business name
RODNEY J. KLIMA, DDS, PC
Practice address
5204B Lyngate CT
Burke, VA 22015-1631
Phone
(703) 425-5125
Fax
(703) 425-6281
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Rodney John Klima, D.D.S.
Title
President
Phone
(703) 425-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401004660 VA Primary

Addresses

Primary practice location

5204B Lyngate CT
Burke, VA 22015-1631

Mailing address

5204B Lyngate CT
Burke, VA 22015-1631
Phone (703) 425-5125

Other identifiers 1

IdentifierTypeStateIssuer
9178575MedicaidVA

National Provider Directory

National Provider Directory

Locations

5204B Lyngate Ct
Burke, VA 22015
Phone (703) 425-5125

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1518395367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204B LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-425-5125",
            "fax_number": "703-425-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204B LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-425-5125",
            "fax_number": "703-425-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY J. KLIMA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "KLIMA",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-425-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401004660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178575",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.