SANFORD RALPH KANER DPM NPI 1386611002

NPI Information

NPI: 1386611002
Provider Name: SANFORD RALPH KANER, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
14780 W MOUNTAIN VIEW BLVD
SUITE 110
SURPRISE, AZ
ZIP 85374
Phone: (623) 374-7774
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Sanford Ralph Kaner, DPM is a primary podiatric medicine podiatrist in Surprise, AZ. Sanford Ralph Kaner, DPM NPI is 1386611002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14780 W MOUNTAIN VIEW BLVD
SUITE 110
SURPRISE, AZ
ZIP 85374-280
Phone: (623) 374-7774

The NPI 1386611002 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/1/2006 and was last updated on 5/15/2015.

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
1	213E00000X	Podiatrist		5901000553	MICHIGAN	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	0245	ARIZONA	Yes

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
1	5635270	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	8825448	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE
3	4383238	OTHER		AETNA US HEALTHCARE
4	1124460	MEDICAID	MICHIGAN
5	U20248	MEDICARE UPIN	MICHIGAN

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

NPI Synchronization or Removal

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