Active NPI
Peter David Kleckner, AU.D
- Audiologist
- Allentown, PA
National Provider Identifier
1225442346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006349
- Practice address
- 3131 College Heights Blvd
Allentown, PA 18104-4812 - Phone
- (610) 435-8299
- NPI assigned
- Jun 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006349 | PA | Primary |
Addresses
Primary practice location
3131 College Heights Blvd
Allentown, PA 18104-4812
Mailing address
3131 College Heights Blvd
2600
Allentown, PA 18104
Phone (610) 435-8299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3131 College Heights Blvd
Suite 2600
Allentown, PA 18104-4878
Phone (610) 435-8299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006349 | PA | MD | Audiologist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Allentown, PA
- NPI 1346797891
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1225442346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "2600",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18104",
"telephone_number": "610-435-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044812",
"telephone_number": "610-435-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLECKNER",
"first_name": "PETER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.