Raymond Carl Kleefisch III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7318 Issued in LA

Practice address

1562 Mitscher Ave Ste 250
Norfolk, VA 23551-2197

Phone

(757) 953-8593

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1124759667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112803",
            "telephone_number": "757-953-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 MITSCHER AVE STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235512197",
            "telephone_number": "757-953-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEFISCH",
        "first_name": "RAYMOND",
        "middle_name": "CARL",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raymond.c.kleefisch2.mil@health.mil",
            "affiliation": "N",
            "address_1": "620 John Paul Jones Cir Ste 275",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "237082197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Elliott Kirshenbaum, M.D.
• Lynn Kistler, R.D.
• Laura Murphy Kitchens, FNP-C
• Mary D Kittle, NP
• Andrew Klear
• Bruce J Kleiman, MD
• Jeffrey Klein, M.D.
• Lauren Raia Klevan, DNP, FNP-C
• Thomas Klevan, MD
• Benjamin Klick, M.D.

• Dentist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.