Cynthia Kleinegger, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D8628 Issued in OR

Practice address

611 SW Campus Dr
SD-515
Portland, OR 97239-3001

Phone

(503) 494-8904

NPI assigned

Apr 3, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 26, 2015 through Oct 26, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Health & Science University

  dba Diagnostic Lab Ohsu Dentistry SCH

  • Oral and Maxillofacial Pathology Dentistry
  • Portland, OR
  • NPI 1609837574
  NPD (past)
• Oregon Health & Science University

  • Dentist
  • Portland, OR
  • NPI 1740369818
  NPD (past)
• Cta Oral Pathology Consultants of Michigan, PLLC

  dba CTA Oral Pathology

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
  • NPI 1366244550
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366404717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW CAMPUS DR",
            "address_2": "SD-515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393001",
            "telephone_number": "503-494-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINEGGER",
        "first_name": "CYNTHIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D8628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Joseph Klein
• Star Ann Klein, MA
• Tyler Klein
• William Matthew Klein, MD
• Sarah Kleine, MS CCC SLP
• Joseph C Kleinhenz, LCSW, CADC 1
• Meredith Kleinhenz, RD, LD
• Robert Kleinjan, CSWA
• Donna Kleinman, LCSW
• Gabriel Kleinman, MD

• Oral and Maxillofacial Surgery (Dentist) in Portland, OR
• Providers in Portland, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.