Jacqueline Sue Kleven, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17207 Issued in TX

Practice address

2700 Brown TRL
Suite 1
Bedford, TX 76021-4182

Phone

(817) 282-1331

Fax

(817) 282-7171

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dayspring Dental, PLLC

  • Dentist
  • Bedford, TX
  • NPI 1821444175
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841415833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BROWN TRL",
            "address_2": "SUITE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214182",
            "telephone_number": "817-282-1331",
            "fax_number": "817-282-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BROWN TRL",
            "address_2": "SUITE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214182",
            "telephone_number": "817-282-1331",
            "fax_number": "817-282-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVEN",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A King, FNP
• Kathryn Jean Kinne, CRNA
• Leslie Stevens Kipp, FNP
• Traci L Kirkland, PA
• Amy Kirsch, D.C.
• Ellen Ko-Keeney, D.O.
• Kimberly Ann Koch, NP
• Davida Oyere Koffi, PMHNP- BC
• Nirmala Koirala, FNP
• Vani Kollipara, MD

• General Practice Dentistry in Bedford, TX
• Providers in Bedford, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.