Individual provider Active NPI

Lester Robert Klebe, DPM

  • Podiatrist
  • Paradise Valley, AZ
National Provider Identifier
1245232883
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0120 Issued in AZ
Practice address
10555 N Tatum Blvd
A101
Paradise Valley, AZ 85253-1096
Phone
(602) 954-0777
Fax
(602) 954-6843
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0120 AZ Primary

Addresses

Primary practice location

10555 N Tatum Blvd
A101
Paradise Valley, AZ 85253-1096

Mailing address

10555 N Tatum Blvd
A101
Paradise Valley, AZ 85253-1096
Phone (602) 954-0777

Other identifiers 1

IdentifierTypeStateIssuer
701228 01MedicaidAZ

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1245232883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A101",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "602-954-0777",
            "fax_number": "602-954-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A101",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "602-954-0777",
            "fax_number": "602-954-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBE",
        "first_name": "LESTER",
        "middle_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701228 01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.