Phillip Eliezer Klein, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1256 Issued in NM

Practice address

803 Vassar Dr SE
Albuquerque, NM 87106-2952

Phone

(505) 226-3066

Fax

(505) 884-1785

NPI assigned

Dec 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aubrey Ragland, D.O.M., L.L.C.

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1578724282
  NPD (past)

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1750928917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 VASSAR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 VASSAR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062952",
            "telephone_number": "505-226-3066",
            "fax_number": "505-884-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PHILLIP",
        "middle_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO LICENSE",
            "identifier": "1256",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Kleiman
• Ben J Klein, PHD
• Craig Klein
• Melissa Klein, MD
• Nancy H Klein, CRNA
• Hilary Ann Kleinman, MD
• Lisa Kleinstiver, CPSW
• Wesley Jacob Klejch, MD
• Kevin Alexander Kless, M.D.
• Theresa Susan Kliesen-Maravetz, LPCC

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.