Active NPI
Marc Alan Klein, DPM
- Podiatrist
- Bel Air, MD
National Provider Identifier
1760568331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00513
- Practice address
- 1 North Main Street
Bel Air, MD 21014 - Phone
- (410) 879-1212
- Fax
- (410) 893-1081
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00513 | MD | Primary |
Addresses
Primary practice location
1 North Main Street
Bel Air, MD 21014
Mailing address
1 North Main Street
Bel Air, MD 21014
Phone (410) 803-0788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E602 | Other | MD | NATIONAL CAP BLUE |
| H792 | Other | MD | BLUE CROSS |
| 772968500 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00513 | MD | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1760568331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NORTH MAIN STREET",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-803-0788",
"fax_number": "410-803-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NORTH MAIN STREET",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-879-1212",
"fax_number": "410-893-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "MARC",
"middle_name": "ALAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "00513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAP BLUE",
"identifier": "E602",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "H792",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "772968500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.