Active NPI
Robert Kipp Klein, DDS
- Dentist
- Kansas City, MO
National Provider Identifier
1699851378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2004013324
- Practice address
- 9764 N Ash
Kansas City, MO 64157 - Phone
- (816) 792-8030
- Fax
- (816) 792-9986
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2004013324 | MO | Primary |
Addresses
Primary practice location
9764 N Ash
Kansas City, MO 64157
Mailing address
200 N. Forest Ave
Liberty, MO 64068-1070
Phone (816) 792-8030
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 |
|---|---|---|---|
| 2004013324 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1699851378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N. FOREST AVE",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681070",
"telephone_number": "816-792-8030",
"fax_number": "816-792-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9764 N ASH",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64157",
"telephone_number": "816-792-8030",
"fax_number": "816-792-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ROBERT",
"middle_name": "KIPP",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2004013324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.