Active NPI
Marsha Lyn Klopfenstein
- Contractor
- South Daytona, FL
National Provider Identifier
1831399005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT23416
- Practice address
- 681 Beville Rd
South Daytona, FL 32119-1951 - Phone
- (800) 330-7711
- Fax
- (866) 426-2811
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT23416 | FL | Primary |
Addresses
Primary practice location
681 Beville Rd
South Daytona, FL 32119-1951
Mailing address
11809 Colony Lakes Blvd
New Port Richey, FL 34654-2046
Phone (727) 856-2706
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23416 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1831399005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 COLONY LAKES BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346542046",
"telephone_number": "727-856-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 BEVILLE RD",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321191951",
"telephone_number": "800-330-7711",
"fax_number": "866-426-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOPFENSTEIN",
"first_name": "MARSHA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "PT23416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.