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DR. CARLY JONINA KLASSEN D.D.S.
NPI 1649525452
Dentist - General Practice in Willow Park, TX

Active since July 17, 2012Opted out of Medicare · through Dec 17, 2027
201 CROWN POINTE BLVD STE 100, WILLOW PARK, TX 76087(817) 594-7427(817) 770-0687 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jul 21, 2022, Aug 15, 2017 (3 updates tracked since 2017).

About Dr. Carly Jonina Klassen D.d.s. NPPES

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

DR. CARLY JONINA KLASSEN D.D.S. (NPI 1649525452) is an individual general practice provider in Willow Park, Texas, licensed in Texas (28221) and active in the NPI registry since July 2012. She has opted out of Medicare through December 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649525452
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARLY JONINA KLASSENCredential: D.D.S.
Location Address201 CROWN POINTE BLVD STE 100Willow Park, TX 76087-1303
Mailing Address201 Crown Pointe Blvd Ste 100Willow Park, TX 76087-1303 · (817) 594-7427 · Fax (817) 770-0687
Phone(817) 594-7427
Fax(817) 770-0687
Sole ProprietorNo
Enumeration DateJuly 17, 2012
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1649525452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 28221
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
201 CROWN POINTE BLVD STE 100, Willow Park, TX 76087
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carly Jonina Klassen D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2015 through December 17, 2027.

Opt-Out Effective DateDecember 17, 2015
Opt-Out In Effect ThroughDecember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76087 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Carly Klassen's NPI number?

The NPI number for Carly Klassen is 1649525452. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Carly Klassen located?

Carly Klassen practices at 201 Crown Pointe Blvd Ste 100, Willow Park, TX 76087. The listed phone number is (817) 594-7427.

What is Carly Klassen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carly Klassen enrolled in Medicare?

No. Carly Klassen has opted out of Medicare through December 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carly Klassen was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.