NPIMap

Organization Active NPI

Nicole R. Klein DMD PA

  • Dental Clinic/Center
  • Winter Haven, FL
National Provider Identifier
1639867831
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NICOLE R. KLEIN DMD PA
Practice address
200 Avenue K SE Ste 1
Winter Haven, FL 33880-4003
Phone
(863) 299-2192
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Nicole Klein, DMDNPI 1336588375
Title
Owner/Dentist
Phone
(704) 796-0154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

200 Avenue K SE Ste 1
Winter Haven, FL 33880-4003

Mailing address

200 Avenue K SE Ste 1
Winter Haven, FL 33880-4003
Phone (863) 299-2192

Other names 1

  • Nicole Klein DMD Doing business as

National Provider Directory

National Provider Directory

Locations

200 Avenue K SE
Ste 1
Winter Haven, FL 33880
Phone (863) 299-2192

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1639867831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE STE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804003",
            "telephone_number": "863-299-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE STE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804003",
            "telephone_number": "863-299-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE R. KLEIN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "704-796-0154",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Klein DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.