Individual provider Active NPI

Cass F. Klimcak, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1619989563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5081 Issued in AL
Practice address
1000 Eagle Point Corporate Dr Ste 102
Birmingham, AL 35242-6995
Phone
(205) 981-9449
Fax
(205) 981-9062
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5081 AL Primary

Addresses

Primary practice location

1000 Eagle Point Corporate Dr Ste 102
Birmingham, AL 35242-6995

Mailing address

1000 Eagle Point Corporate Dr Ste 102
Birmingham, AL 35242-6995
Phone (205) 981-9449

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

LicenseStateTypeSpecialty
5081ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Klimcak D.M.D., PC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619989563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAGLE POINT CORPORATE DR STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426995",
            "telephone_number": "205-981-9449",
            "fax_number": "205-981-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAGLE POINT CORPORATE DR STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426995",
            "telephone_number": "205-981-9449",
            "fax_number": "205-981-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMCAK",
        "first_name": "CASS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

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.

Verify at the official NPI Registry.