Individual provider Active NPI

Curtis John Kloc, M.D.

  • Surgery Physician
  • Manchester, NH
National Provider Identifier
1356330401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12849 Issued in NH
Practice address
184 Tarrytown Rd
Manchester, NH 03103-2713
Phone
(603) 627-1102
Fax
(603) 647-5524
NPI assigned
Oct 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12849 NH Primary

Addresses

Primary practice location

184 Tarrytown Rd
Manchester, NH 03103-2713

Mailing address

184 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 627-1102

Other identifiers 1

IdentifierTypeStateIssuer
30201328MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050926000471 NH Practitioner - General Surgery 5092779645 Reassigns benefits to 1 organization
I20210128003029 VT Practitioner - General Surgery 5092779645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince Dec 8, 2020 Accepting new patients
Concord Hospital-Laconia Surgery CurrentSince Jan 25, 2024 Accepting new patients
Littleton Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Littleton Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Gifford Medical Center Inc. CurrentSince Dec 8, 2020 Accepting new patients
Concord Hospital-Laconia Past Accepting new patients
Monadnock Community Hospital PastSince Jan 29, 2021 Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

85 Spring St
Ste 402
Laconia, NH 03246
Phone (603) 527-2946

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356330401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-627-1102",
            "fax_number": "603-647-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-627-1102",
            "fax_number": "603-647-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOC",
        "first_name": "CURTIS",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "12849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201328",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.