Organization Active NPI

Kline Family Dentistry

  • General Practice Dentistry
  • Plattsburgh, NY
National Provider Identifier
1659422855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043305 Issued in NY
Legal business name
KLINE FAMILY DENTISTRY
Practice address
43 Broad St
Plattsburgh, NY 12901-3314
Phone
(518) 563-6666
Fax
(518) 563-6914
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert W Kline, DDS
Title
President
Phone
(518) 563-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 043305 NY Primary

Addresses

Primary practice location

43 Broad St
Plattsburgh, NY 12901-3314

Mailing address

43 Broad St
Plattsburgh, NY 12901-3314
Phone (518) 563-6666

National Provider Directory

National Provider Directory

Locations

43 Broad St
Plattsburgh, NY 12901
Phone (518) 563-6666

Practitioners & affiliated clinicians

Practitioners 1

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659422855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013314",
            "telephone_number": "518-563-6666",
            "fax_number": "518-563-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013314",
            "telephone_number": "518-563-6666",
            "fax_number": "518-563-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-563-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.