Jack D Klure, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D3151 Issued in ID

Practice address

110 E Ustick Rd
Meridian, ID 83646

Phone

(208) 888-9399

Fax

(208) 888-6115

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jack D.Klure, DDS PLLC

  • Dentist
  • Meridian, ID
  • NPI 1447419866
  NPD (past) Authorized official
• JS Dental PC

  • Dentist
  • Meridian, ID
  • NPI 1326409384
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740280353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E USTICK RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-888-9399",
            "fax_number": "208-888-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E USTICK RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-888-9399",
            "fax_number": "208-888-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLURE",
        "first_name": "JACK",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Gray Klabo, PSYD
• Vanessa M Klaus, FNP
• Kimberly A Kleaveland, FNP
• Eric W Klein, M.D.,MPH, TM
• Kelly Marie Klinger, COTA/L
• KMB Home Care, LLC
• Ronald Knapp
• KNG Mobility, Inc
• Paige Marie Knickrehm, NP, CNM, BSN
• Alainnah Knight, M.A., LPC

• Dentist in Meridian, ID
• Providers in Meridian, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.