Individual provider Active NPI

Dean Kleto, M.D.

  • Plastic Surgery Physician
  • Knoxville, TN
National Provider Identifier
1376609842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
12990MD Issued in TN
Practice address
9123 Cross Park Dr
Suite #100
Knoxville, TN 37923-4552
Phone
(865) 524-2442
Fax
(865) 637-0776
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

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
Plastic Surgery Physician 208200000X 12990MD TN Primary

Addresses

Primary practice location

9123 Cross Park Dr
Suite #100
Knoxville, TN 37923-4552

Mailing address

9123 Cross Park Dr
Suite #100
Knoxville, TN 37923-4552
Phone (865) 524-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001705 TN Practitioner - Plastic and Reconstructive Surgery 4486642576 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9123 Cross Park Dr
Knoxville, TN 37923-4552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12990MDTNMDPlastic Surgery Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376609842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 CROSS PARK DR",
            "address_2": "SUITE #100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234552",
            "telephone_number": "865-524-2442",
            "fax_number": "865-637-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 CROSS PARK DR",
            "address_2": "SUITE #100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234552",
            "telephone_number": "865-524-2442",
            "fax_number": "865-637-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETO",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "12990MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.