DR. PERRY RICHARD KLOKKEVOLD D.D.S., M.S.
NPI 1982920955
Dentist - Periodontics in Torrance, CA

Active since April 15, 2010Opted out of Medicare · through Jan 28, 2027
23430 HAWTHORNE BLVD STE 345, TORRANCE, CA 90505(310) 325-9969 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Perry Richard Klokkevold D.d.s., M.s. NPPES

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

DR. PERRY RICHARD KLOKKEVOLD D.D.S., M.S. (NPI 1982920955) is an individual periodontics provider in Torrance, California, licensed in California (34623) and active in the NPI registry since April 2010. He has opted out of Medicare through January 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982920955
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PERRY RICHARD KLOKKEVOLDCredential: D.D.S., M.S.
Location Address23430 HAWTHORNE BLVD STE 345Torrance, CA 90505-4654
Mailing Address23430 Hawthorne Blvd Ste 345Torrance, CA 90505-4654 · (310) 325-9969
Sole ProprietorYes
Enumeration DateApril 15, 2010
Last NPPES UpdateAugust 11, 2024
NPPES CertifiedAugust 11, 2024
NPI 1982920955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 34623
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
23430 HAWTHORNE BLVD STE 345, Torrance, CA 90505

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. Perry Richard Klokkevold D.d.s., M.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 January 28, 2019 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2019
Opt-Out In Effect ThroughJanuary 28, 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 90505 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
23430 HAWTHORNE BLVD STE 345
TORRANCE, CA 90505

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 Perry Klokkevold's NPI number?

The NPI number for Perry Klokkevold is 1982920955. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Perry Klokkevold located?

Perry Klokkevold practices at 23430 Hawthorne Blvd Ste 345, Torrance, CA 90505. The listed phone number is (310) 325-9969.

What is Perry Klokkevold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Perry Klokkevold enrolled in Medicare?

No. Perry Klokkevold has opted out of Medicare through January 28, 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 Perry Klokkevold was last updated on August 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.