Active NPI
Lisa Louise Klockenteger, RDHAP
- Dental Hygienist
- Paso Robles, CA
National Provider Identifier
1215093364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 52
- Practice address
- 503 13TH Street
Paso Robles, CA 93446 - Phone
- (805) 237-0942
- Fax
- (805) 237-1258
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 52 | CA | Primary |
Addresses
Primary practice location
503 13TH Street
Paso Robles, CA 93446
Mailing address
503 13TH Street
Paso Robles, CA 93446
Phone (805) 237-0942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1215093364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 13TH STREET",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-237-0942",
"fax_number": "805-237-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 13TH STREET",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-237-0942",
"fax_number": "805-237-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOCKENTEGER",
"first_name": "LISA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "52",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.