Organization Active NPI

Kleckner Audiology LLC

  • Audiologist
  • Allentown, PA
National Provider Identifier
1346797891
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
KLECKNER AUDIOLOGY LLC
Practice address
3131 College Heights Blvd Ste 2600
Allentown, PA 18104-4878
Phone
(610) 435-8299
Fax
(610) 435-1940
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. Peter David Kleckner, AU.D.NPI 1225442346
Title
Audiologist
Phone
(610) 435-8299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X PA Primary

Addresses

Primary practice location

3131 College Heights Blvd Ste 2600
Allentown, PA 18104-4878

Mailing address

3131 College Heights Blvd Ste 2600
Allentown, PA 18104-4878
Phone (610) 435-8299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902000159 PA Part B Supplier - Clinic/Group Practice 0941596712 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

3131 College Heights Blvd
Ste 2600
Allentown, PA 18104
Phone (610) 432-7733

Practitioners & affiliated clinicians

Practitioners 2

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1346797891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 2600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044878",
            "telephone_number": "610-435-8299",
            "fax_number": "610-435-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 2600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044878",
            "telephone_number": "610-435-8299",
            "fax_number": "610-435-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLECKNER AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "KLECKNER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "610-435-8299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.