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

Q: 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.

Q: 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.

Q: 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 15 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.

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: August 09, 2026.

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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

Phone(520) 767-0390

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

REBECCA SANORA-PAREDES NP

Nurse Practitioner (Family)