Active NPI
Robert Michael Klein III
- Computed Tomography Radiologic Technologist
- Gunnison, CO
National Provider Identifier
1902367014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 302835
- Practice address
- 212 E Tomichi Ave
Gunnison, CO 81230-2327 - Phone
- (631) 494-5805
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 302835 | MN | Primary |
Addresses
Primary practice location
212 E Tomichi Ave
Gunnison, CO 81230-2327
Mailing address
PO Box 1858
Gunnison, CO 81230-1858
Phone (631) 494-5805
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 |
|---|---|---|---|
| 302835 | MN | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1902367014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1858",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812301858",
"telephone_number": "631-494-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E TOMICHI AVE",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302327",
"telephone_number": "631-494-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "MN",
"license": "302835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.