Organization Active NPI

Kevin S. Klopfenstein M.D. P.C.

  • Internal Medicine Physician
  • Parker, AZ
National Provider Identifier
1043355175
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15403 Issued in AZ
Legal business name
KEVIN S. KLOPFENSTEIN M.D. P.C.
Practice address
400 S California Ave
Parker, AZ 85344-4467
Phone
(928) 669-6151
Fax
(928) 669-8403
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Scott Klopfenstein, M.D.
Title
Owner
Phone
(928) 669-6151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 15403 AZ Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 1932 AZ

Addresses

Primary practice location

400 S California Ave
Parker, AZ 85344-4467

Mailing address

400 S California Ave
Parker, AZ 85344-4467
Phone (928) 669-6151

Other identifiers 4

IdentifierTypeStateIssuer
1538129358OtherAZNPI DR.KLOPFENSTEIN
158539MedicaidAZ
1770543506OtherAZNPI GLORIA J. EAGLE P.A.
250217MedicaidAZ

National Provider Directory

National Provider Directory

Locations

400 S California Ave
Parker, AZ 85344
Phone (520) 669-6151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1043355175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CALIFORNIA AVE",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853444467",
            "telephone_number": "928-669-6151",
            "fax_number": "928-669-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CALIFORNIA AVE",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853444467",
            "telephone_number": "928-669-6151",
            "fax_number": "928-669-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S. KLOPFENSTEIN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "KLOPFENSTEIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-669-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "15403",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR.KLOPFENSTEIN",
            "identifier": "1538129358",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158539",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GLORIA J. EAGLE P.A.",
            "identifier": "1770543506",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250217",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.