Jonathan M Kletz DPM P a

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1102 Issued in TX

Legal business name

JONATHAN M KLETZ DPM P A

Practice address

514 E Corisicana St Ste B
Athens, TX 75751-2506

Phone

(909) 677-9090

Fax

(903) 677-9091

NPI assigned

Feb 27, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Mark Kletz, DPMNPI 1104879998

Title

President

Phone

(214) 340-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Mark Kletz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1104879998
  Authorized official Same address or phone

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1366611006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 ABRAMS RD",
            "address_2": "STE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310246",
            "telephone_number": "214-340-8885",
            "fax_number": "214-340-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E CORISICANA ST STE B",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512506",
            "telephone_number": "909-677-9090",
            "fax_number": "903-677-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M KLETZ DPM P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "KLETZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-340-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120518901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Mike Murphy, DDS, Inc.
• Christopher R Johnson, M.D.
• Kristie Lynn Johnson, FNP-C
• Jonathan D. Edwards MD PLLC
• Jonathan D. Edwards, M.D.
• Brandi Jones, FNP-C
• Morghan Jungman, PTA
• Kelechi Eye Associates LLC (Athens Family Eye Care)
• Dana Kennedy, CPNP-PC
• Heather A King, PTA

• Foot & Ankle Surgery Podiatrist in Athens, TX
• Providers in Athens, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.