Active NPI
Jeffrey T. Klein, D.P.M., P.C.
- Podiatrist
- Berkley, MI
National Provider Identifier
1245408418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JEFFREY T. KLEIN, D.P.M., P.C.
- Practice address
- 1695 12 Mile Rd Ste 220
Berkley, MI 48072-2100 - Phone
- (248) 808-6012
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey T Klein, D.P.M.
- Title
- President
- Phone
- (313) 934-1155
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1695 12 Mile Rd Ste 220
Berkley, MI 48072-2100
Mailing address
6371 Alden Dr
West Bloomfield, MI 48324-2002
Phone (248) 360-8971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2902380 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
5050 Joy Rd
Ste 102
Detroit, MI 48204
Phone (313) 934-1155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587686400000",
"number": "1245408418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6371 ALDEN DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483242002",
"telephone_number": "248-360-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 12 MILE RD STE 220",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480722100",
"telephone_number": "248-808-6012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY T. KLEIN, D.P.M., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-934-1155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2902380",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.