Active NPI
Terry D Klein, M.D.
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1831151406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-21459
- Practice address
- 1709 S Rock Rd
Wichita, KS 67207-5150 - Phone
- (316) 682-7411
- NPI assigned
- Apr 6, 2006
- Last updated
- Jan 14, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-21459 | KS | Primary |
Addresses
Primary practice location
1709 S Rock Rd
Wichita, KS 67207-5150
Mailing address
1709 S Rock Rd
Wichita, KS 67207-5150
Phone (316) 682-7411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045370 | Other | KS | BCBS PROVIDER NUMBER |
| 481127437 | Other | KS | TAX ID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-21459 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1831151406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 S ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075150",
"telephone_number": "316-682-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 S ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075150",
"telephone_number": "316-682-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "TERRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-21459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "045370",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "481127437",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.