NATHAN SANFORD JEPPESEN DPM NPI 1306088307

NPI Information

  • NPI: 1306088307
  • Provider Name: NATHAN SANFORD JEPPESEN, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1450 S DOBSON RD
    STE B123
    MESA, AZ
    ZIP 85202
  • Phone: (623) 537-5600

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NPI Details

Nathan Sanford Jeppesen, DPM is a foot and ankle surgery podiatrist in Mesa, AZ with 17 years of experience. Nathan Sanford Jeppesen, DPM NPI is 1306088307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2009

The provider's business location address is:

1450 S DOBSON RD
STE B123
MESA, AZ
ZIP 85202-712
Phone: (623) 537-5600
Fax: (866) 939-2673

The NPI 1306088307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of skin of fingernail or toenail (HCPCS:11765)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)

The enumeration date for this NPI number is 4/6/2009 and was last updated on 4/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery0745ARIZONANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3213ES0103XPodiatristFoot & Ankle Surgery0745ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z90096MEDICARE PINARIZONA
2715319MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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