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DR. BRIAN D KLOCKOW DDS
NPI 1881605921
Dentist in Wabeno, WI

Active since August 11, 2006PECOS Enrolled
4488 N BRANCH ST, WABENO, WI 54566(715) 473-6711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian D Klockow Dds NPPES

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

DR. BRIAN D KLOCKOW DDS (NPI 1881605921) is an individual dentist in Wabeno, Wisconsin, licensed in Wisconsin (2274) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881605921
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRIAN D KLOCKOWCredential: DDS
Location Address4488 N BRANCH STWabeno, WI 54566-0161
Mailing AddressPo Box 161Wabeno, WI 54566-0161 · (715) 473-6711
Phone(715) 473-6711
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881605921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 2274
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4488 N BRANCH ST, Wabeno, WI 54566
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Other Identifiers 1

Medicaid33386800WI

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. Brian D Klockow Dds 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 54566 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Brian Klockow's NPI number?

The NPI number for Brian Klockow is 1881605921. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Brian Klockow located?

Brian Klockow practices at 4488 N Branch St, Wabeno, WI 54566. The listed phone number is (715) 473-6711.

What is Brian Klockow's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brian Klockow enrolled in Medicare?

Yes. Brian Klockow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Klockow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.