Active NPI
Daniel Jeffrey Klein, D.C.
- Chiropractor
- Villanova, PA
National Provider Identifier
1265794622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010593
- Practice address
- 100 Quaker LN
Villanova, PA 19085-1324 - Phone
- (610) 525-2209
- NPI assigned
- Jun 12, 2012
- Last updated
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012455-1 | NY | |
| Chiropractor | 111N00000X | DC010593 | PA | Primary |
Addresses
Primary practice location
100 Quaker LN
Villanova, PA 19085-1324
Mailing address
100 Quaker LN
Villanova, PA 19085-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150129001541 | PA | Practitioner - Chiropractic | 6406012053 | Practice locations: Villanova, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Quaker LN
Villanova, PA 19085-1324
Phone (610) 525-2209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012455 | NY | MD | Mental Health Counselor |
| X012455-1 | NY | MD | Chiropractor |
| DC010593 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel Klein, D.C. | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Villanova, PA
- NPI 1477950509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1265794622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 QUAKER LN",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190851324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 QUAKER LN",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190851324",
"telephone_number": "610-525-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "DANIEL",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-12",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012455-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villanova, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.