Organization Active NPI

Alexis Klassen & Associates DDS, LLC

  • Dental Clinic/Center
  • Bowling Green, OH
National Provider Identifier
1902415912
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEXIS KLASSEN & ASSOCIATES DDS, LLC
Practice address
1218 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone
(419) 352-2371
NPI assigned
Jul 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Authorized official

Name
Alexis Ceceliamarie Klassen, DDSNPI 1831297431
Title
Owner, Dentist
Phone
(419) 352-2371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1218 Ridgewood Dr
Bowling Green, OH 43402-2664

Mailing address

1218 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone (419) 352-2371

National Provider Directory

National Provider Directory

Locations

1218 Ridgewood Dr
Bowling Green, OH 43402
Phone (419) 352-2371

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595721600000",
    "number": "1902415912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS KLASSEN & ASSOCIATES DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "CECELIAMARIE",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "419-352-2371",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; 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.