Justin P Kloppenborg

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1219 S 166TH St
Omaha, NE 68130-1320

Phone

(402) 340-8573

NPI assigned

Jan 22, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1508678939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 FORT PLZ APT 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341227",
            "telephone_number": "402-340-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S 166TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301320",
            "telephone_number": "402-340-8573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10416 Fort Plz Apt 7",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681341227",
            "country_code": "US",
            "telephone_number": "402-340-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOPPENBORG",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Klock, MS
• Kathleen Kloewer, D.C.
• Beth Klootwyk, ED.S., BCBA
• Andrea Klooz, MD
• Reagan A Klooz
• William Kluck
• Elena Kluener
• Amanda Klug
• Jeffrey Richard Klug, M.D.
• Kyle Klug, OD

• Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.