Individual provider Active NPI

Karen Frances Eisenhofer, DDS

  • General Practice Dentistry
  • Bell, CA
National Provider Identifier
1902019805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47880 Issued in CA
Practice address
6901 Atlantic Ave
Bell, CA 90201-3646
Phone
(323) 562-9222
NPI assigned
May 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 47880 CA Primary

Addresses

Primary practice location

6901 Atlantic Ave
Bell, CA 90201-3646

Mailing address

15830 Strebor Dr
Bakersfield, CA 93314-9319
Phone (661) 213-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180227002681 CA Order and Referring Only - DentistPractitioner - Dentist 3779844162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47880CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902019805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 STREBOR DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149319",
            "telephone_number": "661-213-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013646",
            "telephone_number": "323-562-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHOFER",
        "first_name": "KAREN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell, CA

Sources for this page

Verify at the official NPI Registry.