Eric Robert Klumb, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2011015040 Issued in MO

Practice address

18 Hilltop Village Center Dr
Eureka, MO 63025-3921

Phone

(636) 938-6241

Fax

(636) 938-7941

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By 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

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Eureka Smiles

  • Dentist
  • Eureka, MO
  • NPI 1124472857
  NPD (past) Authorized official
• Jack D Griffin Jr DMD PC

  dba Eureka Smile Center

  • Dentist
  • Eureka, MO
  • NPI 1831291277
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1801180971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HILLTOP VILLAGE CENTER DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253921",
            "telephone_number": "636-938-6241",
            "fax_number": "636-938-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HILLTOP VILLAGE CENTER DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253921",
            "telephone_number": "636-938-6241",
            "fax_number": "636-938-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMB",
        "first_name": "ERIC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011015040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Firth DDS Orthodontics PC (Rockwood Orthodontics)
• Dawne Michelle Johnson, COTA/L
• Aaron Johnston, COTA
• Carol Johnston, RN
• Amanda Groebl Judilla, M.D.
• Kara M Kozlowski, DPM, FACFAS
• Jacob Sullivan Krebs, PHARM.D
• Anne Elizabeth Lakin, OTD
• Bethany Anne Laskowitz, M.S. CCC-SLP
• Bailey Leitschuh, DC

• Dentist in Eureka, MO
• Providers in Eureka, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.