Active NPI
Jeffrey B Klein DPM PC
- Podiatrist
- Waterford, MI
National Provider Identifier
1790902609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JEFFREY B KLEIN DPM PC
- Practice address
- 3711 Elizabeth Lake Rd
Waterford, MI 48328-3015 - Phone
- (248) 681-6180
- Fax
- (248) 681-6429
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey B Klein, DPM
- Title
- President
- Phone
- (248) 681-6180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
3711 Elizabeth Lake Rd
Waterford, MI 48328-3015
Mailing address
3711 Elizabeth Lake Rd
Waterford, MI 48328-3015
Phone (248) 681-6180
Other names 1
- advanced podiatry clinic
National Provider Directory
National Provider DirectoryLocations
15600 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 569-4477
3711 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 681-6180
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Southfield, MI
- NPI 1144604463
-
- Podiatrist
- Rochester Hills, MI
- NPI 1700860087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1790902609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283015",
"telephone_number": "248-681-6180",
"fax_number": "248-681-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283015",
"telephone_number": "248-681-6180",
"fax_number": "248-681-6429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY B KLEIN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-681-6180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "advanced podiatry clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.