Active NPI
John S Kleptach, DC
- Chiropractor
- North Canton, OH
National Provider Identifier
1417020447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2311
- Practice address
- 1170 S Main St
North Canton, OH 44720-4272 - Phone
- (330) 494-7158
- Fax
- (330) 494-7184
- NPI assigned
- Nov 16, 2006
- 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 | 2311 | OH | Primary |
Addresses
Primary practice location
1170 S Main St
North Canton, OH 44720-4272
Mailing address
1170 S Main St
North Canton, OH 44720-4272
Phone (330) 494-7158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000140409 | Other | OH | BLUE CROSS BLUE SHIELD |
| 0239423 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2311 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1417020447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 S MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204272",
"telephone_number": "330-494-7158",
"fax_number": "330-494-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 S MAIN ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204272",
"telephone_number": "330-494-7158",
"fax_number": "330-494-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEPTACH",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000140409",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239423",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.