Active NPI
Brendan A. Klema, DC
- Chiropractor
- Charlestown, NH
National Provider Identifier
1922149897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5730999
- Practice address
- 296 Main St
Charlestown, NH 03603-0077 - Phone
- (603) 826-5220
- Fax
- (603) 826-5220
- NPI assigned
- Feb 12, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5730999 | NH | Primary |
Addresses
Primary practice location
296 Main St
Charlestown, NH 03603-0077
Mailing address
296 Main St
PO Box 77
Charlestown, NH 03603-0077
Phone (603) 826-5220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05Y004160NH01 | Other | NH | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060117000524 | NH | Practitioner - Chiropractic | 4385668425 | Practice locations: Charlestown, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
296 Main St
Charlestown Family C
Charlestown, NH 03603-0077
PO Box
Suite 77
Charlestown, NH 03603-0077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5730999 | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1922149897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 MAIN ST",
"address_2": "PO BOX 77",
"city": "CHARLESTOWN",
"state": "NH",
"postal_code": "036030077",
"telephone_number": "603-826-5220",
"fax_number": "603-826-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 MAIN ST",
"city": "CHARLESTOWN",
"state": "NH",
"postal_code": "036030077",
"telephone_number": "603-826-5220",
"fax_number": "603-826-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMA",
"first_name": "BRENDAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "5730999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05Y004160NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.