Theresa J Kibler, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H04638 Issued in AZ

Practice address

4525 Campus Dr
Sierra Vista, AZ 85635-2232

Phone

(520) 459-3011

NPI assigned

Oct 14, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1255882171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL STE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352900",
            "telephone_number": "520-459-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMPUS DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352232",
            "telephone_number": "520-459-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "THERESA",
        "middle_name": "J",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H04638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyamed, Inc a P C
• Abdul Rahman Rizwan Ahmed Khan, MD
• Habiba Yaqub Khan, MD
• Hashim Khan, DO
• Saad Khanzada, DO
• Anton Kiefer, RN, BSN
• Eva-Marie Darlene Kiley, MT
• Rita Kilgore, MD
• Kimberly L Kimble, PHARMD
• Kindred Nursing Centers West, LLC

• Dental Hygienist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.