Active NPI
Erik Yunatan Klein, DDS
- Dentist
- Marietta, GA
National Provider Identifier
1982949228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 011490
- Practice address
- 4200 Providence Rd
Marietta, GA 30062-6129 - Phone
- (770) 579-6400
- NPI assigned
- Nov 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 011490 | GA | Primary |
Addresses
Primary practice location
4200 Providence Rd
Marietta, GA 30062-6129
Mailing address
4200 Providence Rd
Marietta, GA 30062-6129
Phone (770) 579-6400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011490 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My East Cobb Dentist, PC | 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.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1477688166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1982949228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 PROVIDENCE RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626129",
"telephone_number": "770-579-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 PROVIDENCE RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626129",
"telephone_number": "770-579-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ERIK",
"middle_name": "YUNATAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "011490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.