Dennis R Kloberdanz, MD

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

87-256 Issued in NM

Practice address

2300 E 30TH St BLDG D
Ste 101
Farmington, NM 87401-8990

Phone

(505) 327-1400

Fax

(505) 327-3474

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1174517601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-327-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-327-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBERDANZ",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NM",
            "license": "87-256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM001536",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "87-256",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Kinsel
• Kenneth A Kirby, D.C.
• Jocelyne Klasen, PHD
• Robert Schuyler Klein, M.D.
• Julie Elizabeth Kleva, O.D.
• Amy Joanne Knackendoffel, PA-C
• Knew Creation LLC
• Jasin E Knights, PHYSICAL THERAPIST
• Gregory Robert Knutsen, DDS
• John H. Koewler, PH.D.

• Orthopaedic Trauma Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Orthopaedic Trauma Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.