Active NPI
Otto K. Klanow D.D.S. P.C.
- Prosthodontics
- Sterling Heights, MI
National Provider Identifier
1962648246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2901011910
- Legal business name
- OTTO K. KLANOW D.D.S. P.C.
- Practice address
- 38912 Dequindre
Sterling Heights, MI 48310 - Phone
- (586) 979-4700
- Fax
- (586) 979-9452
- NPI assigned
- Dec 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Otto Kevin Klanow, D.D.S. M.S.
- Title
- Owner - President
- Phone
- (586) 979-4700
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901011910 | MI | |
| Prosthodontics | 1223P0700X | 2901011910 | MI | Primary |
Addresses
Primary practice location
38912 Dequindre
Sterling Heights, MI 48310
Mailing address
38912 Dequindre
Sterling Heights, MI 48310
Phone (586) 979-4700
National Provider Directory
National Provider DirectoryLocations
38912 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 979-4700
Practitioners & affiliated clinicians
Practitioners 1
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": "1229472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1962648246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38912 DEQUINDRE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-979-4700",
"fax_number": "586-979-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38912 DEQUINDRE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-979-4700",
"fax_number": "586-979-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTO K. KLANOW D.D.S. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "KLANOW",
"authorized_official_first_name": "OTTO",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "OWNER - PRESIDENT",
"authorized_official_telephone_number": "586-979-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S. M.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "MI",
"license": "2901011910",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MI",
"license": "2901011910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.