Tom J Kleitches

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5988 Issued in NC

Practice address

518 W John St
Matthews, NC 28105-5353

Phone

(704) 845-3008

Fax

(704) 841-9437

NPI assigned

Jul 23, 2008

Last updated

Jul 23, 2008By the provider in NPPES

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

Other names 1

• Athanasias J Kleitches Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1548425184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-845-3008",
            "fax_number": "704-841-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-845-3008",
            "fax_number": "704-841-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEITCHES",
        "first_name": "TOM",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHANASIAS",
            "last_name": "KLEITCHES",
            "middle_name": "J",
            "credential": "DDS,PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Laine Kinney, PT
• Megan Elise Kirkpatrick
• John David Kisella, D.D.S., M.D
• Justin Klein, DC
• Sharon Klein, HIS
• Cherryl Lai Klitch, PA-C
• Brendan Schanel Klitsch, PA
• Nikia Norbeta Knapp
• Edward John Knish, MD
• Nicholas J Knutson, D.C.

• Endodontics in Matthews, NC
• Providers in Matthews, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.