Kyle Anton Klepacki, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10145 Issued in CO

Practice address

125 Inverness Dr E
Suite 300
Englewood, CO 80112-5137

Phone

(303) 779-5306

Fax

(303) 779-1822

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1699984864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SOUTHBURY PL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801291804",
            "telephone_number": "414-403-5489",
            "fax_number": "303-779-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E",
            "address_2": "SUITE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125137",
            "telephone_number": "303-779-5306",
            "fax_number": "303-779-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPACKI",
        "first_name": "KYLE",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "10145",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Klein
• Tamara L Klein, PHD
• Tracy Greenwood Klein, M.A., CCC-SLP
• Jonathan Thomas Kleinman
• Caitlyn Klemme
• Dana Klindt
• KMH Orthodontics, PLLC
• Kngdm Sports Performance Corp
• Alexander Thomas Knippenberg, DO
• Angela Garrett Knoth

• Pediatric Dentistry in Englewood, CO
• Providers in Englewood, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.