Individual provider Active NPI

Rick J. Kleinsasser, D.D.S.

  • General Practice Dentistry
  • Santa Maria, CA
National Provider Identifier
1992714273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29330 Issued in CA
Practice address
1430 E Main St Ste 203
Santa Maria, CA 93454-4832
Phone
(805) 922-3530
Fax
(805) 928-4776
NPI assigned
Aug 5, 2006
Sex
Male
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 29330 CA Primary

Addresses

Primary practice location

1430 E Main St Ste 203
Santa Maria, CA 93454-4832

Mailing address

1430 E Main St Ste 203
Santa Maria, CA 93454-4832
Phone (805) 922-3530

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Dentistry for Children: Dental Group of Kleinsasser Dental Cor General Practice Current Accepting new patients

Locations

1430 E Main St
Ste 203
Santa Maria, CA 93454
Phone (805) 922-3530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992714273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E MAIN ST STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544832",
            "telephone_number": "805-922-3530",
            "fax_number": "805-928-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E MAIN ST STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544832",
            "telephone_number": "805-922-3530",
            "fax_number": "805-928-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSASSER",
        "first_name": "RICK",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • 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.