Daniel Lee Kittleson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28465 Issued in CA

Practice address

548 3Rd St W
Sonoma, CA 95476-6502

Phone

(707) 938-3077

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 26, 2017 through Feb 26, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Neal Patel DDS Inc

  • Dental Clinic/Center
  • Sonoma, CA
  • NPI 1063094597
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174690465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766502",
            "telephone_number": "707-938-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C Kimbles, N.D.
• Mary Elizabeth King, MD
• Richard F. H. Kirk, M.D.
• Irvin Bruce Kirschbaum, C.M.T.
• Stephen Kiser, DPT
• Robin Knuttel, MD
• Robert K Koida, M.D.
• Rowena K Korobkin, MD
• David Francis Kosnick, MD
• Marianne Louise Kramer, MD

• General Practice Dentistry in Sonoma, CA
• Providers in Sonoma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.