Jessica Luree Klabak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10756 Issued in CO

Practice address

21 Kings Crossing
Ste 107
Winter Park, CO 80482-1266

Phone

(970) 726-5556

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WP Dental LLC

  dba Winter Park Dental

  • Dentist
  • Winter Park, CO
  • NPI 1215332317
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1003162033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "804821266",
            "telephone_number": "970-726-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KINGS CROSSING",
            "address_2": "STE 107",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "804821266",
            "telephone_number": "970-726-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLABAK",
        "first_name": "JESSICA",
        "middle_name": "LUREE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Eye Care LLC
• Jessica R Stern MD LLC
• Anna Johanson, MD
• James Gray Kennedy, M.D.
• Keysdentalco., PLLC WP (Colorado Dental Co - Winter Park)
• Kremmling Memorial Hospital District (Middle Park Medical Center - Winter Park Clinic)
• Luna Counseling, LLC
• David Craig Lurye, D.D.S.
• Mackenzie Muha
• Georgia Lynn Norgren, DPT

• General Practice Dentistry in Winter Park, CO
• Providers in Winter Park, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.