Organization Active NPI

Konnect Dental Kare Services

  • Dental Hygienist
  • Klamath Falls, OR
National Provider Identifier
1609683028
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
KONNECT DENTAL KARE SERVICES
Practice address
5017 Southview Dr
Klamath Falls, OR 97603-8545
Phone
(503) 679-7527
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Brenna Chavarin, MSAH, EPDHNPI 1730585670
Title
Ceo
Phone
(503) 679-7527

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X Primary
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

5017 Southview Dr
Klamath Falls, OR 97603-8545

Mailing address

5017 Southview Dr
Klamath Falls, OR 97603-8545
Phone (503) 679-7527

Other names 1

  • Konnect Dental Kare Services Other name

National Provider Directory

National Provider Directory

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": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1609683028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 SOUTHVIEW DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976038545",
            "telephone_number": "503-679-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 SOUTHVIEW DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976038545",
            "telephone_number": "503-679-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONNECT DENTAL KARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CHAVARIN",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-679-7527",
        "authorized_official_credential": "MSAH, EPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Konnect Dental Kare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.