Active NPI
Henry Klein, M.D.
- Legal Medicine
- South Jordan, UT
National Provider Identifier
1871502567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 2747431205
- Practice address
- 3556 W 9800 S Ste 101
South Jordan, UT 84095-3221 - Phone
- (801) 567-9780
- Fax
- (801) 567-9826
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 2747431205 | UT | Primary |
Addresses
Primary practice location
3556 W 9800 S Ste 101
South Jordan, UT 84095-3221
Mailing address
3556 W 9800 S Ste 101
South Jordan, UT 84095-3211
Phone (801) 567-9780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2747431205 | UT | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Indian Health Center | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients |
Locations
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871502567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3556 W 9800 S STE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953211",
"telephone_number": "801-567-9780",
"fax_number": "801-567-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 W 9800 S STE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953221",
"telephone_number": "801-567-9780",
"fax_number": "801-567-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "HENRY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "UT",
"license": "2747431205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.