Organization Active NPI

Doc Kleins Chiropractic

  • Chiropractor
  • Shavertown, PA
National Provider Identifier
1730817370
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DOC KLEINS CHIROPRACTIC
Practice address
1535 Memorial Hwy
Shavertown, PA 18708
Phone
(570) 901-1044
NPI assigned
Aug 11, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Dr. Albert Klein, DCNPI 1366634164
Title
Owner
Phone
(570) 901-1044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1535 Memorial Hwy
Shavertown, PA 18708

Mailing address

1535 Memorial Hwy
Shavertown, PA 18708
Phone (570) 901-1044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221011001454 PA Part B Supplier - Clinic/Group Practice 1052787348 Receives reassigned benefits from 3 practitioners
Practice locations: Shavertown, PA

National Provider Directory

National Provider Directory

Locations

1535 Memorial Hwy
Shavertown, PA 18708
Phone (570) 575-1710

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1730817370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "18708",
            "telephone_number": "570-901-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "18708",
            "telephone_number": "570-901-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC KLEINS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-901-1044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.