Individual provider Active NPI

Karla J Thole-Bechtold, D.D.S.

  • General Practice Dentistry
  • Sioux City, IA
National Provider Identifier
1740592831
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08731 Issued in IA
Practice address
5845 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone
(712) 274-2338
Fax
(712) 274-2338
NPI assigned
Jul 6, 2010
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08731 IA Primary

Addresses

Primary practice location

5845 Sunnybrook Dr
Sioux City, IA 51106-4203

Mailing address

5845 Sunnybrook Dr
Sioux City, IA 51106-4203
Phone (712) 274-2338

Other practice location 1

611 E Main St
Panora, IA 50216-1097
Phone (641) 755-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150623002659 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163733734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08731IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KTB, DDS. P.C General Practice CurrentSince Apr 20, 2021 Accepting new patients

Locations

5845 Sunnybrook Dr
Sioux City, IA 51106
Phone (712) 274-2338

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1740592831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-274-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-274-2338",
            "fax_number": "712-274-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E Main St",
            "address_purpose": "LOCATION",
            "city": "Panora",
            "state": "IA",
            "postal_code": "502161097",
            "country_code": "US",
            "telephone_number": "641-755-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOLE-BECHTOLD",
        "first_name": "KARLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.