Organization Active NPI

W. Douglas Klein, DMD, PS

  • Oral and Maxillofacial Surgery Clinic/Center
  • Richland, WA
National Provider Identifier
1639489479
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DE00004943 Issued in WA
Legal business name
W. DOUGLAS KLEIN, DMD, PS
Practice address
725 Swift Blvd
Suite a
Richland, WA 99352-3541
Phone
(509) 943-6686
Fax
(509) 946-0462
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Walter Douglas Klein, DMD
Title
Owner, Oral Surgeon
Phone
(509) 943-6686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DE00004943 WA Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X D4952 OR

Addresses

Primary practice location

725 Swift Blvd
Suite a
Richland, WA 99352-3541

Mailing address

725 Swift Blvd
Suite a
Richland, WA 99352-3541
Phone (509) 943-6686

National Provider Directory

National Provider Directory

Locations

725 Swift Blvd
Ste A
Richland, WA 99352
Phone (509) 943-6686

725 Swift Blvd
#A
Richland, WA 99352
Phone (509) 943-6686

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1639489479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SWIFT BLVD",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523541",
            "telephone_number": "509-943-6686",
            "fax_number": "509-946-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SWIFT BLVD",
            "address_2": "SUITE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523541",
            "telephone_number": "509-943-6686",
            "fax_number": "509-946-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. DOUGLAS KLEIN, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER, ORAL SURGEON",
        "authorized_official_telephone_number": "509-943-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00004943",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D4952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.