Individual provider Active NPI

Samantha Klipp, D.D.S.

  • Dentist
  • Monroe, MI
National Provider Identifier
1790111052
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021072 Issued in MI
Practice address
526 N Monroe St
Monroe, MI 48162-2933
Phone
(734) 241-5254
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021072 MI Primary

Addresses

Primary practice location

526 N Monroe St
Monroe, MI 48162-2933

Mailing address

526 N Monroe St
Monroe, MI 48162-2933
Phone (734) 241-5254

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
2901021072MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Klipp DDS PLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

526 N Monroe St
Monroe, MI 48162
Phone (734) 241-5254

Organizations & group practices 1

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1790111052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622933",
            "telephone_number": "734-241-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622933",
            "telephone_number": "734-241-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIPP",
        "first_name": "SAMANTHA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.