Gregory C Klingel, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9617 Issued in WA

Practice address

520 F St SW
Quincy, WA 98848-1366

Phone

(509) 787-4531

Fax

(509) 787-0809

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Previously, effective Sep 19, 2016 through Sep 19, 2026

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Sun Dental

  • Dentist
  • Quincy, WA
  • NPI 1316492036
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750419107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481366",
            "telephone_number": "509-787-4531",
            "fax_number": "509-787-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481366",
            "telephone_number": "509-787-4531",
            "fax_number": "509-787-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGEL",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Griffin
• Broc Gundersen, DMD
• Lisa Hamilton
• Cherie Hanning, RN
• Cheryl M Hein, MSW
• Paul Yoo Kwon, DDS
• Kyle M Gillespie O D LTD (Gillespie Eye Care)
• Linda Nancy Landin
• Erika Leavitt, SLPA
• Marco Leon

• General Practice Dentistry in Quincy, WA
• Providers in Quincy, WA by specialty
• General Practice Dentistry in Washington

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.