Ira M. Klemons, D.D.S., PH.D., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01120400 Issued in NJ

Legal business name

IRA M. KLEMONS, D.D.S., PH.D., P.C.

Practice address

2045 Route 35
South Amboy, NJ 08879-2069

Phone

(732) 727-5000

Fax

(732) 727-5497

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ira M Klemons, D.D.S., PH.D.NPI 1841393386

Title

Director

Phone

(732) 727-5000

Specialties & licenses 1

Addresses

Other names 1

• The Center for Headaches and Facial Pain Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira M Klemons, DDS PHD

  • Dentist
  • South Amboy, NJ
  • NPI 1841393386
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1740469428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROUTE 35",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792069",
            "telephone_number": "732-727-5000",
            "fax_number": "732-727-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROUTE 35",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792069",
            "telephone_number": "732-727-5000",
            "fax_number": "732-727-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA M. KLEMONS, D.D.S., PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KLEMONS",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-727-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01120400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Headaches and Facial Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Harris, FNP-BC
• Mary Lou Harris, RPH
• Healthy Pediatrics at Old Bridge, LLC
• Casey Anne Hochheiser
• Inclusive Home Care LLC
• Salmata Sall Jabbie
• Diane Janson, PSY.D.
• Megan Marionetta Jarvis, LPN
• Regine Jean-Mary, RN
• Rama Pratap Jiandani, MSW

• Dentist in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.