Individual provider Active NPI

Mark Richard Klopenstine, DDS

  • Dentist
  • Rock Hill, SC
National Provider Identifier
1932239084
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4508 Issued in SC
Practice address
2460 India Hook Rd Ste 207
Rock Hill, SC 29732-1276
Phone
(803) 328-8004
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 150549 NC
Dentist 122300000X 12010859A IN
Dentist 122300000X 4508 SC Primary

Addresses

Primary practice location

2460 India Hook Rd Ste 207
Rock Hill, SC 29732-1276

Mailing address

2460 India Hook Rd Ste 207
Rock Hill, SC 29732-1276
Phone (803) 328-8004

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
12010859AINMDDentist
150549NCMDGeneral Practice Dentistry
4508SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Klopenstine P.C. Past Accepting new patients

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1932239084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD STE 207",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321276",
            "telephone_number": "803-328-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD STE 207",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321276",
            "telephone_number": "803-328-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPENSTINE",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150549",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010859A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.