Individual provider Active NPI

Jonathan Klineman, D.D.S

  • General Practice Dentistry
  • Richmond HTS, OH
National Provider Identifier
1780701672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021253 Issued in OH
Practice address
27127 Chardon Rd
Richmond HTS, OH 44143-1115
Phone
(440) 943-1117
Fax
(440) 943-9513
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 30021253 OH Primary

Addresses

Primary practice location

27127 Chardon Rd
Richmond HTS, OH 44143-1115

Mailing address

27127 Chardon Rd
Richmond HTS, OH 44143
Phone (440) 943-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30021253OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Family Dental Jonathan J Klineman DDS Inc CurrentSince May 9, 2021 Accepting new patients
Richmond Heights Dental Arts LLC General Practice PastSince Nov 10, 2019 Accepting new patients
Jonathan J Klineman DDS Inc. Family Dentistry General Practice Past Accepting new patients

Locations

7528 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 888-6783

Organizations & group practices 3

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780701672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27127 CHARDON RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-943-1117",
            "fax_number": "440-943-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27127 CHARDON RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441431115",
            "telephone_number": "440-943-1117",
            "fax_number": "440-943-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINEMAN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond HTS, OH

Sources for this page

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

Verify at the official NPI Registry.