Active NPI
Christopher Klym, DMD
- Dentist
- Bismarck, ND
National Provider Identifier
1679190888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2408
- Practice address
- 1004 S 7TH St
Bismarck, ND 58504-6531 - Phone
- (701) 955-5111
- NPI assigned
- Jul 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2408 | ND | Primary |
| General Practice Dentistry | 1223G0001X | 2408 | ND |
Addresses
Primary practice location
1004 S 7TH St
Bismarck, ND 58504-6531
Mailing address
1755 Santa Gertrudis Dr
Bismarck, ND 58503-0861
Phone (701) 527-4504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2408 | ND | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1679190888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 SANTA GERTRUDIS DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030861",
"telephone_number": "701-527-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 S 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046531",
"telephone_number": "701-955-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLYM",
"first_name": "CHRISTOPHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "2408",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.