Organization Active NPI

Lester R Klebe DPM

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1659468890
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
LESTER R KLEBE DPM
Practice address
4910 N 44TH St
Ste B15
Phoenix, AZ 85018-2730
Phone
(480) 985-1093
NPI assigned
Oct 9, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. Lester R Klebe, DPM
Title
Owner
Phone
(480) 985-1093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

4910 N 44TH St
Ste B15
Phoenix, AZ 85018-2730

Mailing address

4910 N 44TH St
Ste B15
Phoenix, AZ 85018-2730
Phone (480) 985-1093

Other identifiers 2

IdentifierTypeStateIssuer
701228MedicaidAZ
AZ0065700OtherAZBCBS

National Provider Directory

National Provider Directory

Locations

10555 N Tatum Blvd
Ste A101
Paradise Vly, AZ 85253
Phone (602) 358-5888

4910 N 44th St
Ste B15
Phoenix, AZ 85018
Phone (602) 954-0777

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1659468890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N 44TH ST",
            "address_2": "STE B15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182730",
            "telephone_number": "480-985-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N 44TH ST",
            "address_2": "STE B15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182730",
            "telephone_number": "480-985-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER R KLEBE DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "KLEBE",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-985-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701228",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0065700",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.