Active NPI
Jeffrey C Kleiman DMD PC
- Dental Clinic/Center
- Peoria, AZ
National Provider Identifier
1003090200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2450
- Legal business name
- JEFFREY C KLEIMAN DMD PC
- Practice address
- 13660 N 94TH Dr
E-3
Peoria, AZ 85381-4209 - Phone
- (623) 974-4799
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey C Kleiman
- Title
- President
- Phone
- (623) 974-4799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2450 | AZ | Primary |
Addresses
Primary practice location
13660 N 94TH Dr
E-3
Peoria, AZ 85381-4209
Mailing address
13660 N 94TH Dr
E-3
Peoria, AZ 85381-4209
Phone (623) 974-4799
National Provider Directory
National Provider DirectoryLocations
13660 N 94th Dr
Ste E3
Peoria, AZ 85381
Phone (623) 974-4799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198454400000",
"number": "1003090200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13660 N 94TH DR",
"address_2": "E-3",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814209",
"telephone_number": "623-974-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13660 N 94TH DR",
"address_2": "E-3",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814209",
"telephone_number": "623-974-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY C KLEIMAN DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A",
"authorized_official_last_name": "KLEIMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-974-4799",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AZ",
"license": "2450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.