Individual provider Active NPI

Dominic J Kleinhenz, MD

  • Orthopaedic Surgery Physician
  • Lighthouse Point, FL
National Provider Identifier
1770670648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30323 Issued in FL
Practice address
1821 NE 25TH Street
Lighthouse Point, FL 33064-7744
Phone
(954) 942-0321
Fax
(954) 942-0432
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

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
Orthopaedic Surgery Physician 207X00000X 30323 FL Primary

Addresses

Primary practice location

1821 NE 25TH Street
Lighthouse Point, FL 33064-7744

Mailing address

1821 NE 25TH Street
Lighthouse Point, FL 33064-7744
Phone (954) 942-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000427 FL Practitioner - Orthopedic Surgery 2769552553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Surgery Associates PAGroup PAC ID 8123911518, 19 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 395-5733

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Willowbrooke Court at St Andrews Estates Nursing home, Boca Raton, FL, CCN 105355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30323FLMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates, PA Orthopaedic Surgery CurrentSince Oct 10, 2022 Accepting new patients
Holy Cross Hospital Inc CurrentSince Mar 1, 2008 Accepting new patients
Orthopaedic Surgery Associates PA Orthopaedic Surgery CurrentSince Oct 10, 2022 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Mar 1, 2008 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

1401 NW 9th Ave
Boca Raton, FL 33486
Phone (561) 395-2117

9970 Central Park Blvd N
Ste 400
Boca Raton, FL 33428
Phone (561) 483-1600

2623 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 734-5080

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1821 NE 25th St
Lighthouse Point, FL 33064
Phone (954) 942-0321

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770670648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH STREET",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-942-0321",
            "fax_number": "954-942-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH STREET",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-942-0321",
            "fax_number": "954-942-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINHENZ",
        "first_name": "DOMINIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "30323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.