Active NPI
Leticia Prieto, RDH
- Dental Hygienist
- Klamath Falls, OR
National Provider Identifier
1659612810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5577
- Practice address
- 2074 S 6TH St
Klamath Falls, OR 97601-3372 - Phone
- (541) 851-8110
- Fax
- (541) 851-8114
- NPI assigned
- Mar 12, 2013
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5577 | OR | Primary |
Addresses
Primary practice location
2074 S 6TH St
Klamath Falls, OR 97601-3372
Mailing address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 851-8110
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 |
|---|---|---|---|
| H5577 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1659612810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-851-8110",
"fax_number": "541-851-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-851-8110",
"fax_number": "541-851-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO",
"first_name": "LETICIA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.