Active NPI
Kimberly Anne Klein, D.D.S.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1487887758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58025
- Practice address
- 9911 W Pico Blvd
Suite 900
Los Angeles, CA 90035-2703 - Phone
- (310) 276-2088
- Fax
- (310) 276-5785
- NPI assigned
- Sep 2, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58025 | CA | Primary |
Addresses
Primary practice location
9911 W Pico Blvd
Suite 900
Los Angeles, CA 90035-2703
Mailing address
9911 W Pico Blvd
Suite 900
Los Angeles, CA 90035-2703
Phone (310) 453-3747
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 |
|---|---|---|---|
| 58025 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1487887758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9911 W PICO BLVD",
"address_2": "SUITE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352703",
"telephone_number": "310-453-3747",
"fax_number": "310-453-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9911 W PICO BLVD",
"address_2": "SUITE 900",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352703",
"telephone_number": "310-276-2088",
"fax_number": "310-276-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.