Individual provider Active NPI

Albert R Klein Jr., DC

  • Chiropractor
  • Shavertown, PA
National Provider Identifier
1366634164
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001312L Issued in PA
Practice address
1535 Memorial Hwy
Shavertown, PA 18708-1491
Phone
(570) 901-1044
NPI assigned
Aug 15, 2007
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001312L PA Primary

Addresses

Primary practice location

1535 Memorial Hwy
Shavertown, PA 18708-1491

Mailing address

1535 Memorial Hwy
Shavertown, PA 18708-1491
Phone (709) 011-0445

Other identifiers 2

IdentifierTypeStateIssuer
0619284MedicaidPA
807793OtherBLSHIEL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000220 PA Practitioner - Chiropractic 1355515982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doc Kleins ChiropracticGroup PAC ID 1052787348, 3 clinicians

Practice addresses (Care Compare)

1535 Memorial Hwy
Shavertown, PA 18708

1535 Memorial Hwy
Shavertown, PA 18708-1491
Phone (570) 575-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Kleins Chiropractic Chiropractor CurrentSince Nov 3, 2022 Accepting new patients

Locations

1535 Memorial Hwy
Shavertown, PA 18708
Phone (570) 575-1710

Organizations & group practices 1

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1366634164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081491",
            "telephone_number": "709-011-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081491",
            "telephone_number": "570-901-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ALBERT",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001312L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619284",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSHIEL",
            "identifier": "807793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.