Active NPI
Vince Andrew Klopfenstein, ATC
- Athletic Trainer
- Marion, IA
National Provider Identifier
1457982373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00544
- Practice address
- 2410 Prairie Hill Dr
Marion, IA 52302-9018 - Phone
- (319) 750-1591
- NPI assigned
- Jan 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 00544 | IA | Primary |
Addresses
Primary practice location
2410 Prairie Hill Dr
Marion, IA 52302-9018
Mailing address
2410 Prairie Hill Dr
Marion, IA 52302-9018
Phone (319) 750-1591
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00544 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1457982373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 PRAIRIE HILL DR",
"city": "MARION",
"state": "IA",
"postal_code": "523029018",
"telephone_number": "319-750-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 PRAIRIE HILL DR",
"city": "MARION",
"state": "IA",
"postal_code": "523029018",
"telephone_number": "319-750-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOPFENSTEIN",
"first_name": "VINCE",
"middle_name": "ANDREW",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.