David Anthony Klodd, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000269 Issued in IL

Practice address

800 Austin Avenue
Ste 256 East
Evanston, IL 60202-3454

Phone

(847) 674-8761

Fax

(847) 674-8764

NPI assigned

Feb 21, 2007

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

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

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.

• Professional Audiology, Inc.

  • Audiologist
  • Evanston, IL
  • NPI 1689899874
  NPD (past) Authorized official
• David Spindel M D & S C

  • Ophthalmology Physician
  • Evanston, IL
  • NPI 1346480555
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1679608822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 43",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760043",
            "telephone_number": "847-674-8761",
            "fax_number": "847-674-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN AVENUE",
            "address_2": "STE 256 EAST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023454",
            "telephone_number": "847-674-8761",
            "fax_number": "847-674-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLODD",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M Klecha, LCPC, CADC
• Sara Klein
• Lynn Gae Kleinberger
• Jennifer Rebecca Klimek
• Kelli Klinger, L.C.S.W.
• Wendy Klunk
• Kate Knappenberger, MS, RD, CSSD, ATC
• Cathleen Patricia Knauss, NP
• Jack J Knight, LCSW
• Millicent L Knight, OD

• Audiologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.