Active NPI
Kevin S. Klopfenstein M.D. P.C.
- Internal Medicine Physician
- Parker, AZ
National Provider Identifier
1043355175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15403
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15403 | AZ | Primary |
| Medical Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538129358 | Other | AZ | NPI DR.KLOPFENSTEIN |
| 158539 | Medicaid | AZ | |
| 1770543506 | Other | AZ | NPI GLORIA J. EAGLE P.A. |
| 250217 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Parker, AZ
- NPI 1770543506
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.