Organization Active NPI

Otto K. Klanow D.D.S. P.C.

  • Prosthodontics
  • Sterling Heights, MI
National Provider Identifier
1962648246
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2901011910 Issued in MI
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

Updated by the provider on Dec 17, 2008

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.NPI 1801032198
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901011910 MI
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.