Calie Kloke, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9459 Issued in OR

Practice address

1150 Crater Lake Ave Ste L
Medford, OR 97504-6213

Phone

(541) 414-6468

Fax

(541) 414-6464

NPI assigned

Jul 27, 2010

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

Other names 1

• Dr. Calie Roa Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• East Main Dental Center, LLP

  • General Practice Dentistry
  • Medford, OR
  • NPI 1700819596
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1184938656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CRATER LAKE AVE STE L",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046213",
            "telephone_number": "541-414-6468",
            "fax_number": "541-414-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CRATER LAKE AVE STE L",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046213",
            "telephone_number": "541-414-6468",
            "fax_number": "541-414-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKE",
        "first_name": "CALIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALIE",
            "last_name": "ROA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel Bruce Klein, MD
• Brett Dalton Klezmer, PA-C
• Mary Kline
• Richard Klingensmith
• Victor Klodin, PH.D.
• Dana Klos
• Hunter Klug
• Mary Teresa Knauf
• Kerstie Kneeland, PT
• Blake Knight, LMT

• General Practice Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.