Noelle Klemann, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11007 Issued in OR

Practice address

13110 SE Sunnyside Rd Ste a
Clackamas, OR 97015-8468

Phone

(503) 698-4884

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

No

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

Locations

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

• Distinctive Dentistry, LLC

  • Dental Clinic/Center
  • Happy Valley, OR
  • NPI 1871197624
  NPD Authorized official

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1982171708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 SE SUNNYSIDE RD STE A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158468",
            "telephone_number": "503-698-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 SE SUNNYSIDE RD STE A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158468",
            "telephone_number": "503-698-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMANN",
        "first_name": "NOELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Kistler, LMT
• Christine Elizabeth Klausman, RPH
• Monica Kleier
• Aaron Klein, CPNP
• David Leo Klein, M.D.
• Alison Klossner, PT, DPT
• Cameron D Klug, MD
• Corinne Klykov, M.D.
• Heather Knapp
• Hailey Aloy Knepper

• General Practice Dentistry in Clackamas, OR
• Providers in Clackamas, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.