KLOCKOW PC
NPI 1861861254
Clinic/Center - Dental in Rensselaer, IN

Q: What is Klockow PC's NPI number?

The NPI number for Klockow PC is 1861861254. It was assigned to this organization in the NPPES registry on September 16, 2015.

Q: What is Klockow PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Klockow PC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 September 16, 2015

118 S VAN RENSSELAER ST, RENSSELAER, IN 47978(219) 869-1097(219) 267-1729 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Klockow Pc NPPES

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

KLOCKOW PC (NPI 1861861254) is a healthcare organization registered as a dental in Rensselaer, Indiana and active in the NPI registry since September 2015. The organization lists Raymond Gordon Klockow, President, as its authorized official.

NPPES Registry Identity

NPI1861861254

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameKLOCKOW PC

Location Address118 S VAN RENSSELAER STRensselaer, IN 47978-2815

Mailing Address118 S Van Rensselaer StRensselaer, IN 47978-2815 · (219) 869-1097 · Fax (219) 267-1729

Phone(219) 869-1097

Fax(219) 267-1729

Organization SubpartNo

Authorized OfficialRaymond Gordon KlockowPresident · (219) 869-1097

Enumeration DateSeptember 16, 2015

✔ NPI 1861861254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in IN · 54000437A

118 S VAN RENSSELAER ST, Rensselaer, IN 47978

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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 Klockow PC's NPI number?

The NPI number for Klockow PC is 1861861254. It was assigned to this organization in the NPPES registry on September 16, 2015.

Where is Klockow PC located?

Klockow PC is located at 118 S Van Rensselaer St, Rensselaer, IN 47978. The listed phone number is (219) 869-1097.

What is Klockow PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Klockow PC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.