Active NPI
Dalton A Kleman
- Homemaker
- Pickerington, OH
National Provider Identifier
1154083764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 10214 Allen Rd
Pickerington, OH 43147-9404 - Phone
- (614) 361-4100
- NPI assigned
- Oct 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | TH990178 | OH | |
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Respite Care | 385H00000X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
10214 Allen Rd
Pickerington, OH 43147-9404
Mailing address
572 E Royal Forest Blvd
Columbus, OH 43214-1812
Phone (614) 361-4100
Other practice location 1
572 E Royal Forest Blvd
Columbus, OH 43214-1812
Phone (614) 361-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TH990178 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1154083764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 E ROYAL FOREST BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141812",
"telephone_number": "614-361-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10214 ALLEN RD",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479404",
"telephone_number": "614-361-4100"
}
],
"practiceLocations": [
{
"address_1": "572 E Royal Forest Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432141812",
"country_code": "US",
"telephone_number": "614-361-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEMAN",
"first_name": "DALTON",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "TH990178",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.