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NATHAN SANFORD JEPPESEN DPM NPI 1306088307


NPI Information

NPI: 1306088307
Provider Name: NATHAN SANFORD JEPPESEN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1450 S DOBSON RD
STE B123
MESA, AZ
ZIP 85202
Phone: (623) 537-5600
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Nathan Sanford Jeppesen, DPM is a foot and ankle surgery podiatrist in Mesa, AZ with 15 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.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.