KLT Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

26455 Issued in TX

Legal business name

KLT DENTISTRY PLLC

Practice address

3223 Thousand Oaks Dr
Ste #102
San Antonio, TX 78247

Phone

(210) 496-5422

Fax

(210) 490-2388

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Kaci Tibbetts, DDSNPI 1861794430

Title

Owner

Phone

(210) 496-5422

Specialties & licenses 2

Addresses

Other names 1

• Kaci L. Tibbetts Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaci L. Tibbetts, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1861794430
  NPD (past) Authorized official

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1093068744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 THOUSAND OAKS DR",
            "address_2": "STE #102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "210-496-5422",
            "fax_number": "210-490-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 THOUSAND OAKS DR",
            "address_2": "STE #102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "210-496-5422",
            "fax_number": "210-490-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "KACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-496-5422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12844",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaci L. Tibbetts",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kaci L. Tibbetts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shenay Nicholle Klingler, RBT-23-288918
• Cris Cynthia Klinkner, FNP-C
• Natalie Elise Klinsky, CTRS
• Randall David Klint, D.D.S.
• Shelby Denise Kloiber, DC
• Carly D Klumpp, CRNA
• Brittany Kluthe, RN
• Anthony Klutho
• Kendra E Kluting
• Christien Kluwe, MD

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.