Gregg Hal Kalbfleisch, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

H-D-1-00226 Issued in CO

Practice address

1361 Francis St
Suite 101
Longmont, CO 80501-2576

Phone

(303) 772-8585

Fax

(303) 776-4895

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639221336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 FOX HILL DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015254",
            "telephone_number": "303-772-3696",
            "fax_number": "303-776-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS ST",
            "address_2": "SUITE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012576",
            "telephone_number": "303-772-8585",
            "fax_number": "303-776-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBFLEISCH",
        "first_name": "GREGG",
        "middle_name": "HAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "H-D-1-00226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Allan Kair
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Longmont Pharmacy)
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Longmont Medical Offices)
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Longmont Medical Offices Laboratory)
• Francis J Kaklauskas, PSY.D.
• Jason L Kaminski, O.D., F.A.A.O.
• Thomas E Kammer, D.D.S.
• Susan Kanemasu, CACIII
• Justin Michael Kanoff, M.D.
• Sasha Kapil, MD

• Oral and Maxillofacial Surgery (Dentist) in Longmont, CO
• Providers in Longmont, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.