Organization Active NPI

Kleanthous Family Foot Clinic, P.C.

  • Podiatrist
  • Chelsea, MI
National Provider Identifier
1437287034
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001892 Issued in MI
Legal business name
KLEANTHOUS FAMILY FOOT CLINIC, P.C.
Practice address
140 W. Middle Street
Suite B
Chelsea, MI 48118-1293
Phone
(734) 433-2397
Fax
(734) 433-2655
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
James Kleo Kleanthous, D.P.M.NPI 1063412922
Title
Physician/Owner
Phone
(734) 433-2397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001892 MI Primary

Addresses

Primary practice location

140 W. Middle Street
Suite B
Chelsea, MI 48118-1293

Mailing address

140 W. Middle Street
Suite B
Chelsea, MI 48118-1293
Phone (734) 433-2397

Other identifiers 1

IdentifierTypeStateIssuer
4858150140OtherMIBLUE CROSS BLUE SHIELD MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000836 MI Part B Supplier - Clinic/Group Practice 2163503053 Receives reassigned benefits from 1 practitioner
Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Locations

140 W Middle St
Ste B
Chelsea, MI 48118
Phone (734) 433-2397

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1437287034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W. MIDDLE STREET",
            "address_2": "SUITE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181293",
            "telephone_number": "734-433-2397",
            "fax_number": "734-433-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W. MIDDLE STREET",
            "address_2": "SUITE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181293",
            "telephone_number": "734-433-2397",
            "fax_number": "734-433-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEANTHOUS FAMILY FOOT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KLEANTHOUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KLEO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "734-433-2397",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "4858150140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.