Active NPI
Jeff Klein DPM PC
- Podiatrist
- Elkader, IA
National Provider Identifier
1710033345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00540
- Legal business name
- JEFF KLEIN DPM PC
- Practice address
- 901 Davidson St NW
Elkader, IA 52043-9015 - Phone
- (866) 228-1060
- Fax
- (866) 228-1060
- NPI assigned
- Jan 26, 2007
- Last updated
- Jan 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff A Klein, D.P.M.
- Title
- Owner
- Phone
- (866) 228-1060
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00540 | IA | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 00540 | IA |
Addresses
Primary practice location
901 Davidson St NW
Elkader, IA 52043-9015
Mailing address
PO Box 66
Worthington, IA 52078-0066
Phone (866) 228-1060
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8085449 | Medicaid | IA | |
| 3085449 | Medicaid | IA | |
| 4085449 | Medicaid | IA | |
| 6085449 | Medicaid | IA | |
| 1747667 | Medicaid | IA | |
| 2747667 | Medicaid | IA | |
| 5085449 | Medicaid | IA | |
| 7085449 | Medicaid | IA | |
| 0747667 | Medicaid | IA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/3960/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389312000000",
"number": "1710033345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "WORTHINGTON",
"state": "IA",
"postal_code": "520780066",
"telephone_number": "866-228-1060",
"fax_number": "866-228-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DAVIDSON ST NW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439015",
"telephone_number": "866-228-1060",
"fax_number": "866-228-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF KLEIN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2014-01-10",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-228-1060",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "IA",
"license": "00540",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IA",
"license": "00540",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1747667",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2747667",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7085449",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0747667",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkader, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.