Individual provider Active NPI

William Roland Klemme, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Greenbrae, CA
National Provider Identifier
1235259888
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G58946 Issued in CA
Practice address
336 Bon Air Shopping Ctr
#388
Greenbrae, CA 94904-3017
Phone
(415) 461-1650
Fax
(415) 461-1650
NPI assigned
Mar 29, 2007
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
Orthopaedic Surgery of the Spine Physician 207XS0117X G58946 CA Primary

Addresses

Primary practice location

336 Bon Air Shopping Ctr
#388
Greenbrae, CA 94904-3017

Mailing address

336 Bon Air Shopping Ctr
#388
Greenbrae, CA 94904-3017
Phone (415) 461-1650

Other identifiers 1

IdentifierTypeStateIssuer
DE2303OtherRAILROAD MEDICARE PART B

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
G58946CAMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235259888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BON AIR SHOPPING CTR",
            "address_2": "#388",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043017",
            "telephone_number": "415-461-1650",
            "fax_number": "415-461-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BON AIR SHOPPING CTR",
            "address_2": "#388",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043017",
            "telephone_number": "415-461-1650",
            "fax_number": "415-461-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMME",
        "first_name": "WILLIAM",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G58946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DE2303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

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.