Healthcare Provider Details

I. General information

NPI: 1487996062
Provider Name (Legal Business Name): DOROTHY MARIE KLINGMEYER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 S GREEN ST STE 130
BROWNSBURG IN
46112-2048
US

IV. Provider business mailing address

1100 SOUTHFIELD DR STE 1370
PLAINFIELD IN
46168-4300
US

V. Phone/Fax

Practice location:
  • Phone: 317-858-4610
  • Fax: 317-858-4620
Mailing address:
  • Phone: 317-837-5566
  • Fax: 317-837-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number02006935A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02006935A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: