NPIMap

Organization Active NPI

Robert P Klingenbeck OD PC

  • Optometrist
  • Gadsden, AL
National Provider Identifier
1801959846
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S380TA051 Issued in AL
Legal business name
ROBERT P KLINGENBECK OD PC
Practice address
1415 Rainbow Drive
Gadsden, AL 35901-5319
Phone
(256) 546-5782
Fax
(256) 547-5201
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Robert Patrick Klingenbeck, OD
Title
Corporation President Optometrist
Phone
(256) 546-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S380TA051 AL Primary

Addresses

Primary practice location

1415 Rainbow Drive
Gadsden, AL 35901-5319

Mailing address

1415 Rainbow Drive
Gadsden, AL 35901-5319
Phone (256) 546-5782

Other identifiers 8

IdentifierTypeStateIssuer
0139856OtherALBCBS OF TN
0605110001OtherALPALMETTO GBA
51059448OtherALBCBS OF AL
C000059448OtherALUNITED AMERICAN INS CO
000059448MedicaidAL
2210144OtherALUNITED HEALTHCARE INS CO
7450211OtherALAETNA
T68961OtherALHEALTHSPRING OF ALABAMA I

National Provider Directory

National Provider Directory

Locations

1415 Rainbow Dr
Gadsden, AL 35901
Phone (256) 546-5782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1801959846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RAINBOW DRIVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015319",
            "telephone_number": "256-546-5782",
            "fax_number": "256-547-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RAINBOW DRIVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015319",
            "telephone_number": "256-546-5782",
            "fax_number": "256-547-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P KLINGENBECK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "KLINGENBECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "256-546-5782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S380TA051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0139856",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0605110001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51059448",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INS CO",
            "identifier": "C000059448",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059448",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INS CO",
            "identifier": "2210144",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7450211",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA I",
            "identifier": "T68961",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.