Stephanie Kleinbrook

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

00007779 Issued in WA

Practice address

1455 James St
Bellingham, WA 98225-4943

Phone

(360) 525-3502

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1356952568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6036",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982276036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254943",
            "telephone_number": "360-525-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINBROOK",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00007779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bellingham",
            "affiliation": "N",
            "address_1": "1455 James St",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982254943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Klages, LMHCA
• Petra Bethany Klander, LMP
• Keith Ronald Klapperich
• Natalie Klco, LMP
• Elyse M Kleidon, ARNP
• Kenneth J Klem, DDS
• Karey Lee Klemka-Baker, LMP
• Richard Lee Klinnert, OD
• Brandy Rai Kloth
• Yaroslav Igorevich Klykov, LMP

• Dental Hygienist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.