Individual provider Active NPI

Martin Benedict Klenda Jr., M.D.

  • Surgery Physician
  • Beloit, KS
National Provider Identifier
1184693871
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13591 Issued in KS
Practice address
1005 N Lincoln Ave
Beloit, KS 67420-1215
Phone
(785) 738-2246
Fax
(785) 738-4303
NPI assigned
Mar 15, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13591 KS Primary

Addresses

Primary practice location

1005 N Lincoln Ave
Beloit, KS 67420-1215

Mailing address

PO Box 587
Beloit, KS 67420-0587
Phone (785) 738-2246

Other identifiers 1

IdentifierTypeStateIssuer
100087640AMedicaidKS

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

State licenses

LicenseStateTypeSpecialty
13591KSMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: martinklenda@bmc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1184693871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674200587",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N LINCOLN AVE",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674201215",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENDA",
        "first_name": "MARTIN",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "13591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087640A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.