NPIMap

Organization Active NPI

Chad L. Kleven DDS PS

  • General Practice Dentistry
  • Longview, WA
National Provider Identifier
1326205014
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5977 Issued in WA
Legal business name
CHAD L. KLEVEN DDS PS
Practice address
870 11TH Ave
Longview, WA 98632-2402
Phone
(360) 425-4900
Fax
(360) 636-4641
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Chad L Kleven, DDSNPI 1013128438
Title
Doctor
Phone
(360) 425-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5977 WA Primary

Addresses

Primary practice location

870 11TH Ave
Longview, WA 98632-2402

Mailing address

870 11TH Ave
Longview, WA 98632-2402
Phone (360) 425-4900

Other names 1

  • Advanced Dental Services Doing business as

National Provider Directory

National Provider Directory

Locations

870 11th Ave
Longview, WA 98632
Phone (360) 425-4900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1326205014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-425-4900",
            "fax_number": "360-636-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-425-4900",
            "fax_number": "360-636-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD L. KLEVEN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "KLEVEN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "360-425-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.