Eric Mitchell Klein, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

143-61 Issued in MA

Practice address

2400 Massachusetts Ave
Cambridge, MA 02140-1854

Phone

(617) 547-9100

Fax

(617) 547-2962

NPI assigned

Sep 25, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1740430875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401854",
            "telephone_number": "617-547-9100",
            "fax_number": "617-547-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401854",
            "telephone_number": "617-547-9100",
            "fax_number": "617-547-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ERIC",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "143-61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE CARE",
            "identifier": "1223G0001X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal J Klaahsen, O.D.
• Joshua Kleckner, PA-C
• Arielle Klein, LMHC
• E. Joyce Klein
• Elana Barnum Klein, LICSW
• Sara Kleinberg
• Arthur M Kleinman, M.D.
• Elissa Corey Kleinman, M.D.
• Lloyd B. Klickstein, MD, PHD
• Lisa L Klinkenberg

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.