Katie Lynne Klaes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011983A Issued in IN

Practice address

1460 N Green St
Suite 300
Brownsburg, IN 46112-7487

Phone

(317) 225-4520

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brownsburg Family Dentistry Associates

  • Dentist
  • Brownsburg, IN
  • NPI 1700444387
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1629401039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487",
            "telephone_number": "317-225-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487",
            "telephone_number": "317-225-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAES",
        "first_name": "KATIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "12011983A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011983A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kimmell, RBT
• Lexus King, LCSW
• Meghan King
• Benjamin Kissick, DPT
• Adrien M Kiyana
• Amanda M Klinger, MA
• Dorothy Marie Klingmeyer, D.O.
• Savannah Klyczek, RBT
• Deidre Knop, LCSW
• Aidan Koch, DO

• General Practice Dentistry in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.