NPIMap

Organization Active NPI

Laramie Pediatrics Internal Medicine

  • Pediatric Adolescent Medicine Physician
  • Laramie, WY
National Provider Identifier
1336215441
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
LARAMIE PEDIATRICS INTERNAL MEDICINE
Practice address
1252 North 22ND St
Ste B
Laramie, WY 82072
Phone
(307) 745-3704
Fax
(307) 745-7237
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Kent Myron Kleppinger, MD
Title
MD
Phone
(307) 745-3704

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1252 North 22ND St
Ste B
Laramie, WY 82072

Mailing address

1252 North 22ND St
Ste B
Laramie, WY 82072
Phone (307) 745-3704

Other identifiers 1

IdentifierTypeStateIssuer
124413200MedicaidWY

National Provider Directory

National Provider Directory

Locations

1252 N 22nd St
Unit B
Laramie, WY 82072
Phone (307) 745-3536

1252 N 22nd St
Laramie, WY 82072
Phone (307) 745-3704

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1336215441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 NORTH 22ND ST",
            "address_2": "STE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-745-3704",
            "fax_number": "307-745-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 NORTH 22ND ST",
            "address_2": "STE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-745-3704",
            "fax_number": "307-745-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE PEDIATRICS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KLEPPINGER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "307-745-3704",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124413200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.