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Mark Joseph Klingert, DC

Chiropractor in Phoenix, AZ. Individual provider (NPI-1).

NPI number1124093422
StatusActive
Last updated in NPPESJul 21, 2010

Details

NPI
1124093422
Entity type
Individual (NPI-1)
Name
Mark Joseph Klingert
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 21, 2006
Last updated
Jul 21, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor3372AZYes

Practice location

16816 N 35 Ave
Ste 8
Phoenix, AZ 85053-2801

Phone 602-843-3788 · Fax 602-843-6485

Mailing address

16319 N 36 Ave
Phoenix, AZ 85053

Phone 602-978-0506

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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