Active NPI
Angela M Klevenberg, DENTAL HYGIENIST
- Dental Hygienist
- Farmington Hills, MI
National Provider Identifier
1326873464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 60093521
- Practice address
- 33533 W 12 Mile Rd Ste 150
Farmington Hills, MI 48331-5600 - Phone
- (855) 408-6650
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 60093521 | WA | Primary |
Addresses
Primary practice location
33533 W 12 Mile Rd Ste 150
Farmington Hills, MI 48331-5600
Mailing address
33533 W 12 Mile Rd Ste 150
Farmington Hills, MI 48331-5600
Phone (855) 408-6650
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 |
|---|---|---|---|
| 60093521 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1326873464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33533 W 12 MILE RD STE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315600",
"telephone_number": "855-408-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33533 W 12 MILE RD STE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315600",
"telephone_number": "855-408-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEVENBERG",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "60093521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.