Chad L Kleven, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008719 Issued in WA

Practice address

870 11TH Ave
Longview, WA 98632-2402

Phone

(360) 425-4900

Fax

(360) 636-4641

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Pacific Northwest Dental Group, LLC

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1205412467
  NPD Authorized official
• Chad L. Kleven DDS PS

  • General Practice Dentistry
  • Longview, WA
  • NPI 1326205014
  NPD (past) Authorized official

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1013128438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-425-4900",
            "fax_number": "360-636-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-425-4900",
            "fax_number": "360-636-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVEN",
        "first_name": "CHAD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8719",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201872862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleen A Kirman, MD
• Jackie Renee Kiser, MA 60513345
• Melanie Louise Kitchens, CLD, CCCE
• Jeanne Ann Klahn
• Chelsea Klayum, CAAR
• Johnna Joyce Knapp, CCC-SLP
• David E Knoeppel, P.T.
• Virginia Inez Knoles
• Megan Renee Knotts, PHARMD
• Stephanie Koehler, CAAR

• Dentist in Longview, WA
• Providers in Longview, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.