Individual provider Active NPI

Dawn Marie Klose, DC

  • Chiropractor
  • Paramus, NJ
National Provider Identifier
1659423465
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00542600 Issued in NJ
Practice address
205 Robin Rd Ste 118
Paramus, NJ 07652-1424
Phone
(201) 225-1511
NPI assigned
Jan 18, 2007
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00542600 NJ Primary

Addresses

Primary practice location

205 Robin Rd Ste 118
Paramus, NJ 07652-1424

Mailing address

58 Elizabeth St
Wharton, NJ 07885-1757
Phone (973) 627-7888

Other practice location 1

161 E Main St
Denville, NJ 07834-2647
Phone (973) 627-7888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000026 NJ Practitioner - Chiropractic 7315095718 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00542600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Medical & Wellness Centers LLC Chiropractor CurrentSince May 1, 2024 Accepting new patients
Peak Medical Centers Chiropractor CurrentSince Aug 1, 2021 Accepting new patients

Locations

205 Robin Rd
Ste 118
Paramus, NJ 07652
Phone (201) 225-1511

82 Totowa Rd
Wayne, NJ 07470
Phone (201) 225-1511

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1659423465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ELIZABETH ST",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078851757",
            "telephone_number": "973-627-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-225-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Main St",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342647",
            "country_code": "US",
            "telephone_number": "973-627-7888",
            "fax_number": "973-627-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOSE",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00542600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.