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Deactivated NPI 1497856983 Deactivated / Inactive NPI Female Practitioner

Dr. Elyse L. Klingener , DMD

Dentist - General Practice • Durango, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elyse Klingener has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Elyse Klingener, DMD was a registered Dentist - General Practice practicing in Durango, CO. Throughout an active medical career spanning 13 years, Dr. Klingener provided care at the practice location at 3235 MAIN AVE STE A until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

3235 Main Ave Ste A

Durango, CO 813014252

Telephone 9702593112
Fax 9702593826

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Durango, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 104137

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Marie Saiz , RDH

Dental Hygienist

NPI 1407157472

Registered Dental Hygienist

NPI 1508022575

Doctor of Dental Medicine

Kimberly Florine

Dental Hygienist

NPI 1578290268

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3235 MAIN AVE STE A, DURANGO, CO 813014252 (Tel: 9702593112)

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Updated Business Mailing Address July 08, 2007

Registered at 426 COUNTY ROAD 207, DURANGO, CO 813017735 (Tel: 9702593729)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELYSE KLINGENER, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #104137 in CO)

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Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497856983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Deactivation Date: December 09, 2019

Mailing Address

426 County Road 207

Durango, CO 813017735

Phone: 9702593729

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.