Scott Douglas Klohr, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2005026032 Issued in MO

Practice address

1608 S. Big Bend
St. Louis, MO 63117-2208

Phone

(314) 645-1225

Fax

(314) 645-1327

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

Practice roles

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.

• Scott D Klohr DMD LLC

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1932307105
  NPD (past) Authorized official
• Garden Heights LLC

  • Dental Clinic/Center
  • Saint Louis, MO
  • NPI 1023753241
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1962584565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S. BIG BEND",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-645-1225",
            "fax_number": "314-645-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S. BIG BEND",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-645-1225",
            "fax_number": "314-645-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOHR",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026828",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2005026032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019026828",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Klobe
• Jeanne M Kloeckner, MS OT
• Kirsten Kloeppel
• Regina Kloepple, PTA
• Cheryl L Klohr, MS OT
• Tiffany Shonta Klopner
• Rachel Ruth Kloppe
• Emily Carolyn Klos, FNP
• Mary Klos
• Abigail Elise Klosterman, DO

• Dentist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.