Organization Active NPI

Jeffrey C Kleiman DMD PC

  • Dental Clinic/Center
  • Peoria, AZ
National Provider Identifier
1003090200
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2450 Issued in AZ
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

Updated by the provider on Dec 24, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.