Mark Andrew Kleive, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9076 Issued in NC

Practice address

3176 US 70 Hwy
Black Mountain, NC 28711-6302

Phone

(828) 669-2974

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1669402285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 US 70 HWY",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302",
            "telephone_number": "828-669-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 US 70 HWY",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116302",
            "telephone_number": "828-669-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIVE",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11191",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol H Kaufman, MD
• R. Bruce Kelly, M.D.
• Rachel Kelly, LCAS-A, LCMHC-A
• Cody Kenly, DPT
• Michael Steven Kirtley Jr., LCMHC, LCAS
• Susan Kostenko, M.D.
• Christina Joyce Mackenzie Kuetemeyer, NP
• James Thomas Lane, P.T.
• Perry Mendel Lavin, LCMHC LCASA
• Despina Ledford

• Dentist in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.