NPIMap

Organization Active NPI

Traveling Foot Doctor, P.C.

Doing business as Donna Klecka, DPM

  • Podiatrist
  • Eagle River, AK
National Provider Identifier
1265562623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3626 Issued in AK
Legal business name
TRAVELING FOOT DOCTOR, P.C.
Doing business as
Donna Klecka, DPM
Practice address
22434 Eagle Glacier Loop
P.O. B. 772394-2394
Eagle River, AK 99577-9531
Phone
(907) 694-7942
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna Marie Klecka, DPM
Title
Owner
Phone
(907) 694-7942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 3626 AK Primary

Addresses

Primary practice location

22434 Eagle Glacier Loop
P.O. B. 772394-2394
Eagle River, AK 99577-9531

Mailing address

PO Box 772394
22434 Eagle Glacier Loop
Eagle River, AK 99577-2394
Phone (907) 694-7942

Other names 1

  • Donna Klecka, DPM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265562623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772394",
            "address_2": "22434 EAGLE GLACIER LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995772394",
            "telephone_number": "907-694-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22434 EAGLE GLACIER LOOP",
            "address_2": "P.O. B. 772394-2394",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779531",
            "telephone_number": "907-694-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING FOOT DOCTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLECKA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-694-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AK",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Klecka, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.