Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN DALE KLOUCEK DMD
NPI 1972598357
Dentist - General Practice in Beaverton, OR

Q: What is John Kloucek's NPI number?

The NPI number for John Kloucek is 1972598357. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is John Kloucek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Kloucek was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 13, 2005

4130 SW 100TH AVE, BEAVERTON, OR 97005(503) 626-0998(503) 626-0988 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. John Dale Kloucek Dmd NPPES

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

DR. JOHN DALE KLOUCEK DMD (NPI 1972598357) is an individual general practice provider in Beaverton, Oregon, licensed in Oregon (D6358) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1972598357

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN DALE KLOUCEKCredential: DMD

Location Address4130 SW 100TH AVEBeaverton, OR 97005

Mailing AddressPo Box 1757Beaverton, OR 97075-1757 · (503) 626-0998 · Fax (503) 626-0988

Phone(503) 626-0998

Fax(503) 626-0988

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1972598357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6358

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.

4130 SW 100TH AVE, Beaverton, OR 97005

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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 John Kloucek's NPI number?

The NPI number for John Kloucek is 1972598357. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is John Kloucek located?

John Kloucek practices at 4130 SW 100th Ave, Beaverton, OR 97005. The listed phone number is (503) 626-0998.

What is John Kloucek's specialty?

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

When was this NPI record last updated?

The NPPES record for John Kloucek was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.