Individual provider Active NPI

Larry Klaich, M.D.

  • Obstetrics & Gynecology Physician
  • Reno, NV
National Provider Identifier
1154417137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5524 Issued in NV
Practice address
645 N Arlington Ave
Ste 400
Reno, NV 89503-4505
Phone
(775) 329-6241
Fax
(775) 329-4921
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5524 NV Primary

Addresses

Primary practice location

645 N Arlington Ave
Ste 400
Reno, NV 89503-4505

Mailing address

645 N Arlington Ave
Ste 400
Reno, NV 89503-4505
Phone (775) 329-6241

Other identifiers 1

IdentifierTypeStateIssuer
20-16680MedicaidNV

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154417137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "775-329-6241",
            "fax_number": "775-329-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "775-329-6241",
            "fax_number": "775-329-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAICH",
        "first_name": "LARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "5524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-16680",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.