Ursula Klostermyer, DDS PHD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0401413297 Issued in VA

Practice address

7204 Glen Forest Dr
Richmond, VA 23226-3782

Phone

(804) 282-7260

Fax

(804) 282-7262

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1649575531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 GLEN FOREST DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263782",
            "telephone_number": "804-282-7260",
            "fax_number": "804-282-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 GLEN FOREST DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263782",
            "telephone_number": "804-282-7260",
            "fax_number": "804-282-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMYER",
        "first_name": "URSULA",
        "name_prefix": "Dr.",
        "credential": "DDS PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401413297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam B Kline, PC, ED.S., LPC, LMFT
• Sangita Suresh Kling, MPA, RD
• Nora A Klinker, M.D.
• Monica D Klisz, LPC
• Heather Michelle Kloepping, M.S
• Ivette E Klumb, MD
• Daniel Wesley Klyce, PH.D.
• Kmart
• Kmart
• Bridget Kmetz, CRNP-F

• Prosthodontics in Richmond, VA
• Providers in Richmond, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.