Klopenstine Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

12009913A Issued in IN

Legal business name

KLOPENSTINE FAMILY DENTISTRY PC

Practice address

52120 State Road 933
South Bend, IN 46637-3846

Phone

(574) 217-8170

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey KlopenstineNPI 1306951793

Title

President/Dentist Owner

Phone

(574) 217-8170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Geoffrey Allen Klopenstine, D.D.S.

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1306951793
  NPD (past) Authorized official

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1598034894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52120 STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52120 STATE ROAD 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373846",
            "telephone_number": "574-217-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOPENSTINE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "KLOPENSTINE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST OWNER",
        "authorized_official_telephone_number": "574-217-8170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kline
• Randall I Kline, D.P.M.
• Sharon K Klingerman, N.P.
• Edward F Klodzinski, LMHC
• Marcie B Kloosterman, SLP
• Geoffrey Allen Klopenstine, D.D.S.
• Channah C Klor, FNP-BC
• Rachael Klowetter
• Kathleen B Kmitta, MS
• Amy Eileen Knapp, LCSW

• Dentist in South Bend, IN
• Providers in South Bend, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.