Active NPI
Stephen P Klinker, D.D.S.
- Dentist
- Waterville, ME
National Provider Identifier
1730393158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3653
- Practice address
- 30 W Concourse
Cornerstone Dental
Waterville, ME 04901-6007 - Phone
- (207) 877-2200
- Fax
- (207) 877-2206
- NPI assigned
- May 9, 2007
- 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 | 3653 | ME | Primary |
Addresses
Primary practice location
30 W Concourse
Cornerstone Dental
Waterville, ME 04901-6007
Mailing address
840 Ward Hill Rd
Norridgewock, ME 04957-3641
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 |
|---|---|---|---|
| 3653 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Endodontics, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Waterville, ME
- NPI 1336755651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1730393158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WARD HILL RD",
"city": "NORRIDGEWOCK",
"state": "ME",
"postal_code": "049573641",
"fax_number": "207-872-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W CONCOURSE",
"address_2": "CORNERSTONE DENTAL",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016007",
"telephone_number": "207-877-2200",
"fax_number": "207-877-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINKER",
"first_name": "STEPHEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "3653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.