Active NPI
Jeffrey J. Klass, N.D.
- Naturopath
- Guilford, CT
National Provider Identifier
1609972819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- CT000058
- Practice address
- 5 Durham Rd
Ste. B6 BLDG.2
Guilford, CT 06437-2076 - Phone
- (203) 453-1906
- Fax
- (203) 453-2012
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | CT000058 | CT | Primary |
Addresses
Primary practice location
5 Durham Rd
Ste. B6 BLDG.2
Guilford, CT 06437-2076
Mailing address
28 Randi Dr
Madison, CT 06443-2440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 739975 | Other | CT | CONNECTICARE |
| 110000058CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| OR1938 | Other | CT | HEALTHNET |
| P414392 | Other | CT | OXFORD |
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 |
|---|---|---|---|
| CT000058 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guilford Holistic Health Practitioners, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Guilford, CT
- NPI 1275012148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609972819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 RANDI DR",
"city": "MADISON",
"state": "CT",
"postal_code": "064432440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DURHAM RD",
"address_2": "STE. B6 BLDG.2",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372076",
"telephone_number": "203-453-1906",
"fax_number": "203-453-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASS",
"first_name": "JEFFREY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "CT000058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "739975",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "110000058CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OR1938",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P414392",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.