Individual provider Active NPI

Peter G Klein, DC

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1780741637
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002026 Issued in WA
Practice address
4720 Yelm Hwy SE
Lacey, WA 98503-4986
Phone
(360) 491-4359
Fax
(360) 491-6417
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002026 WA Primary

Addresses

Primary practice location

4720 Yelm Hwy SE
Lacey, WA 98503-4986

Mailing address

4720 Yelm Hwy SE
Lacey, WA 98503-4986
Phone (360) 491-4359

Other identifiers 2

IdentifierTypeStateIssuer
67671OtherWALABOR AND INDUSTRIES NUMB
601593867OtherWAUBI #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000345 WA Practitioner - Chiropractic 0749177509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klein Chiropractic P CGroup PAC ID 2860389624, 2 clinicians

Practice addresses (Care Compare)

4720 Yelm Hwy SE
Lacey, WA 98503-4986
Phone (360) 491-4359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Chiropractic P C Chiropractor CurrentSince Jan 1, 1995 Accepting new patients

Locations

4720 Yelm Hwy SE
Olympia, WA 98503
Phone (360) 491-4359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1780741637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 YELM HWY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034986",
            "telephone_number": "360-491-4359",
            "fax_number": "360-491-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 YELM HWY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034986",
            "telephone_number": "360-491-4359",
            "fax_number": "360-491-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES NUMB",
            "identifier": "67671",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI #",
            "identifier": "601593867",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.