Individual provider Active NPI

Daniel Gerard Klauer, DDS

  • General Practice Dentistry
  • Granger, IN
National Provider Identifier
1740592179
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011496A Issued in IN
Practice address
7221 N Fir Rd
Granger, IN 46530
Phone
(574) 968-5166
Fax
(877) 317-3186
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12011496A IN Primary

Addresses

Primary practice location

7221 N Fir Rd
Granger, IN 46530

Mailing address

7221 N Fir Rd
Granger, IN 46530
Phone (574) 968-5166

Other practice location 1

7221 N Fir Rd
Granger, IN 46530-4292
Phone (574) 968-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 11, 2013 through Sep 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12011496AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lum Kids, LLC CurrentSince May 7, 2023 Accepting new patients
Lum Brain, LLC CurrentSince Nov 18, 2025 Accepting new patients
Lum Granger, LLC Current Accepting new patients
Myofunctional Therapy Centre, LLC Current Accepting new patients

Locations

1245 E University Dr
Granger, IN 46530
Phone (574) 968-5166

7221 Fir Rd
Granger, IN 46530
Phone (574) 968-5166

17901 Turners Dr
South Bend, IN 46635
Phone (574) 272-0466

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1740592179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 N FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-968-5166",
            "fax_number": "877-317-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 N FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-968-5166",
            "fax_number": "877-317-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7221 N Fir Rd",
            "address_purpose": "LOCATION",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304292",
            "country_code": "US",
            "telephone_number": "574-968-5166",
            "fax_number": "877-317-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAUER",
        "first_name": "DANIEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011496A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.