Active NPI
Albert R Klein Jr., DC
- Chiropractor
- Shavertown, PA
National Provider Identifier
1366634164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001312L
- Practice address
- 1535 Memorial Hwy
Shavertown, PA 18708-1491 - Phone
- (570) 901-1044
- NPI assigned
- Aug 15, 2007
- Last updated
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0619284 | Medicaid | PA | |
| 807793 | Other | BLSHIEL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doc Kleins Chiropractic | Chiropractor | Current | 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.
-
- Chiropractor
- Shavertown, PA
- NPI 1730817370
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
- Michelle Jeena Im, DO
- Jackson Township Volunteer Ambulance Association
- Thomas Paul Jiunta, DPM MA
- Jream Team LLC
- Kingston Township Ambulance and Rescue Association
- Roberta Klein, LDN, D.C.
- Amy Marie Kozick, OTR/L
- Christine Lisman, RPH
- Samantha Jo Lupinski-Campbell, LMT
- Mark E Morris & Shawn W Miller (Chiropractic and Rehab Associates of Dallas)
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.