Individual provider Active NPI

Thomas Carl Kloiber, D.C.

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1730295718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1649 Issued in WI
Practice address
1510 S 12TH St
Sheboygan, WI 53081-5244
Phone
(920) 457-1510
Fax
(920) 457-1159
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1649 WI Primary

Addresses

Primary practice location

1510 S 12TH St
Sheboygan, WI 53081-5244

Mailing address

1942 N 7TH St
Sheboygan, WI 53081-2724
Phone (920) 458-1942

Other identifiers 1

IdentifierTypeStateIssuer
38781300MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1649WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730295718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 N 7TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812724",
            "telephone_number": "920-458-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530815244",
            "telephone_number": "920-457-1510",
            "fax_number": "920-457-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOIBER",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38781300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

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.

Verify at the official NPI Registry.