Dale R Klepzig MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DALE R KLEPZIG MD PLLC

Practice address

2001 N Jefferson Ave
Suite 120
Mt Pleasant, TX 75455-2338

Phone

(903) 572-8741

Fax

(903) 577-0640

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dale R Klepzig, MDNPI 1396935631

Title

Owner

Phone

(903) 572-8741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9733/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale Robert Klepzig, M.D.

  • Surgery Physician
  • Mt Pleasant, TX
  • NPI 1396935631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1265834634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 120",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-572-8741",
            "fax_number": "903-577-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 120",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-572-8741",
            "fax_number": "903-577-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R KLEPZIG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KLEPZIG",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-572-8741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.