Active NPI
Karla J Thole-Bechtold, D.D.S.
- General Practice Dentistry
- Sioux City, IA
National Provider Identifier
1740592831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08731
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623002659 | IA | Order and Referring Only - Oral Surgery | 2163733734 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08731 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KTB, DDS. P.C | General Practice | Current | 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
- Denise Lee Thelander
- Therapy Station
- Aysha Clarice Thieman, PHARMD.
- Christopher Michael Thieman, PHARM D
- Nancy Ann Thieman, LISW
- Thomas Alan Molstad (Molstad Chiropractic Clinic)
- Amanda Ruth Thomason, D.C
- Ashley Le Anne Thomson, ARNP, PMHNP-BC
- Melissa Ann Tieck-O'Connor, PTA
- Thomas Leonard Tiedeman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.