Organization Active NPI

Richard S Klein DC PA

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1174826374
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4464 Issued in FL
Legal business name
RICHARD S KLEIN DC PA
Practice address
23008 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654
Phone
(561) 483-9955
Fax
(561) 483-9954
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Richard S Klein, DC PANPI 1194732768
Title
President
Phone
(561) 483-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4464 FL Primary

Addresses

Primary practice location

23008 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654

Mailing address

23008 Sandalfoot Plaza Dr
Boca Raton, FL 33428-6654
Phone (561) 483-9955

Other identifiers 3

IdentifierTypeStateIssuer
050260000MedicaidFL
70483OtherMEDICARE PTAN
70483OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110805000008 FL Part B Supplier - Clinic/Group Practice 8426227687 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

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": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1174826374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23008 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286654",
            "telephone_number": "561-483-9955",
            "fax_number": "561-483-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23008 SANDALFOOT PLAZA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286654",
            "telephone_number": "561-483-9955",
            "fax_number": "561-483-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S KLEIN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-483-9955",
        "authorized_official_credential": "DC PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050260000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "70483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70483",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.