Individual provider Active NPI

Thomas D Kleinman, DC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1265450431
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004323 Issued in FL
Practice address
1339 SE Ocean Blvd
Stuart, FL 34996-2621
Phone
(772) 781-9987
Fax
(772) 781-5384
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0004323 FL Primary

Addresses

Primary practice location

1339 SE Ocean Blvd
Stuart, FL 34996-2621

Mailing address

1339 SE Ocean Blvd
Stuart, FL 34996-2621
Phone (772) 781-9987

Other identifiers 3

IdentifierTypeStateIssuer
3822596OtherFLHEALTHMARKET
361657900OtherFLOWCP
350056451OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000765 FL Practitioner - Chiropractic 6901935204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1339 SE Ocean Blvd
Atlas Health Solutions
Stuart, FL 34996-2621
Phone (772) 781-9987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chiropractic Clinic Inc Chiropractor CurrentSince Feb 22, 2010 Accepting new patients

Locations

1508 SW Mapp Rd
Palm City, FL 34990
Phone (561) 781-9987

1339 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 781-9987

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1265450431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962621",
            "telephone_number": "772-781-9987",
            "fax_number": "772-781-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962621",
            "telephone_number": "772-781-9987",
            "fax_number": "772-781-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHMARKET",
            "identifier": "3822596",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "361657900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350056451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.