Mark Thomas Klietz, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

1297 Issued in MT

Practice address

1001 E Broadway St
Ste. #7
Missoula, MT 59802-4970

Phone

(406) 728-0095

Fax

(406) 728-0097

NPI assigned

Dec 30, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1922378454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BROADWAY ST",
            "address_2": "STE. #7",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024970",
            "telephone_number": "406-728-0095",
            "fax_number": "406-728-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BROADWAY ST",
            "address_2": "STE. #7",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024970",
            "telephone_number": "406-728-0095",
            "fax_number": "406-728-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIETZ",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MT",
            "license": "1297",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090.005719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Kleinert
• Olivia Ann Kleinsasser
• Mary Z Kleschen, MD
• Melissa Kleschen
• Nathan Klette
• Joe Klimpel
• Terry Klise, D.D.S.
• Bobbie Jo Klucewich, RDH
• Samantha Knapp
• Alicia Eileen Knecht, DNP, FNP-C

• Veterinarian in Missoula, MT
• Providers in Missoula, MT by specialty
• Veterinarian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.