Edward Robert Klein, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016335 Issued in MI

Practice address

405 S Mission St
Mount Pleasant, MI 48858-2878

Phone

(989) 775-6620

Fax

(989) 779-8871

NPI assigned

Oct 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972689271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W PICKARD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581363",
            "telephone_number": "989-772-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MISSION ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582878",
            "telephone_number": "989-775-6620",
            "fax_number": "989-779-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley King
• Amy Kisel, MA LLPC, CAADC
• Prem Barry Kissoondial, MD
• Karry Lynn Kiste-Toner, MA, LPC
• Ryan P. Klawon, AT, ATC
• Kathy Kline, MD
• Michelle Marie Klingensmith, LLC
• Klinski Counseling Services, LLC
• Wendala K. Klinski, LPC, CAADC, CCS
• Nicole Koch

• General Practice Dentistry in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.