Krissi Clymer

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

31.015642 Issued in OH

Practice address

1 Kaneohe Bay Drive
Kailua, HI 96734

Phone

(314) 727-4100

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1669190831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 PUHI LN",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344992",
            "telephone_number": "303-856-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KANEOHE BAY DRIVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "314-727-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMER",
        "first_name": "KRISSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002025609",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "2245",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OH",
            "license": "31.015642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Clark
• Lauren Patricia Clark, CF-SLP
• Sarah Clark
• Todd K a Clark, MSPT
• Vanessa Anna Leilani Clay
• Erin Blaire Coan, MD
• Adrianna Coberley, RBT
• Angelika Cochran
• Coco'S Lingerie Boutique
• Susan Marie Cohen, PSY.D.

• Dental Hygienist in Kailua, HI
• Providers in Kailua, HI by specialty
• Dental Hygienist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.