Active NPI
Madeline Kibler, RDH, RDHAP
- Dental Hygienist
- Anderson, CA
National Provider Identifier
1871221663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 912
- Practice address
- 1954 Ferry St
Anderson, CA 96007-3365 - Phone
- (530) 378-4185
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31175 | CA | |
| Dental Hygienist | 124Q00000X | 912 | CA | Primary |
Addresses
Primary practice location
1954 Ferry St
Anderson, CA 96007-3365
Mailing address
PO Box 1203
Shasta Lake, CA 96019-1203
Phone (530) 638-3078
Other practice location 1
445 Elm St
Red Bluff, CA 96080-3403
Phone (530) 638-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31175 | CA | MD | Dental Hygienist |
| 912 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1871221663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1203",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960191203",
"telephone_number": "530-638-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 FERRY ST",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073365",
"telephone_number": "530-378-4185"
}
],
"practiceLocations": [
{
"address_1": "445 Elm St",
"address_purpose": "LOCATION",
"city": "Red Bluff",
"state": "CA",
"postal_code": "960803403",
"country_code": "US",
"telephone_number": "530-638-3078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIBLER",
"first_name": "MADELINE",
"credential": "RDH, RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "31175",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.