DR. DANIEL JAMES KLEMMEDSON D.D.S., M.D.
NPI 1235134503
Dentist - Oral and Maxillofacial Surgery in Tucson, AZ

Active since June 14, 2005PECOS Enrolled
3655 E GRANT RD, TUCSON, AZ 85716(520) 767-0390(520) 309-2593 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Daniel James Klemmedson D.d.s., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL JAMES KLEMMEDSON D.D.S., M.D. (NPI 1235134503) is an individual oral and maxillofacial surgery provider in Tucson, Arizona, licensed in Arizona (2774) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1235134503
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL JAMES KLEMMEDSONCredential: D.D.S., M.D.
Location Address3655 E GRANT RDTucson, AZ 85716-2933
Mailing Address3150 N Swan RdTucson, AZ 85712-1227 · (520) 745-6531 · Fax (520) 790-3817
Fax(520) 309-2593
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1235134503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · 2774
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 16321 (AZ)
3655 E GRANT RD, Tucson, AZ 85716

Secondary Practice Location 1

Location 14501 N Paseo ImurisTucson, AZ 85750-1710 · Phone (520) 603-1122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel James Klemmedson D.d.s., M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Klemmedson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
2600 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3655 E GRANT RD
TUCSON, AZ 85716
Internal Medicine
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
3655 E GRANT RD
TUCSON, AZ 85716
Social Worker
3655 E GRANT RD
TUCSON, AZ 85716
Dental Hygienist
3655 E GRANT RD
TUCSON, AZ 85716
Psychiatry & Neurology (Psychiatry)
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Psychiatric/Mental Health)
3655 E GRANT RD
TUCSON, AZ 85716
Nurse Practitioner (Family)
3655 E GRANT RD
TUCSON, AZ 85716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Klemmedson's NPI number?

The NPI number for Daniel Klemmedson is 1235134503. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Daniel Klemmedson located?

Daniel Klemmedson practices at 3655 E Grant Rd, Tucson, AZ 85716. The listed phone number is (520) 767-0390.

What is Daniel Klemmedson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Klemmedson enrolled in Medicare?

Yes. Daniel Klemmedson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Klemmedson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Klemmedson reassigns Medicare benefits to Children's Clinics For Rehabilitative Services (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Klemmedson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Klemmedson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Daniel Klemmedson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Klemmedson was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.