Active NPI
Kentston Cripe, DPM
- Podiatrist
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5846
- Practice address
- 2103 Forest Ave
Chico, CA 95928-7680 - Phone
- (530) 895-3668
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5846 | CA | Primary |
Addresses
Primary practice location
2103 Forest Ave
Chico, CA 95928-7680
Mailing address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Other practice location 1
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Other practice location 2
1401 21st St Ste R
Sacramento, CA 95811-5226
Phone (916) 300-9633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255147 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
906 Cirby Way
Suite 100
Roseville, CA 95661-4475
Phone (916) 243-5033
Hospital & facility affiliations
- Sutter Care at Home
- Sutter Auburn Faith Vna & Hospice
- Sutter Roseville Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 24 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5846 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chico Podiatry Group | Podiatrist | Current | Accepting new patients |
| Roseville Foot and Ankle PC | Podiatrist | Current | Accepting new patients |
| Michael N Brown, DPM, Inc | Past | Accepting new patients |
Locations
2103 Forest Ave
Chico, CA 95928
Phone (530) 895-3668
906 Cirby Way
Ste 100
Roseville, CA 95661
Phone (916) 243-5033
1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853
Interoperability endpoints
- kcripe653393@hisp.ehr.sutterhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Roseville, CA
- NPI 1326794355
-
- Podiatrist
- Chico, CA
- NPI 1942374566
-
- Non-Pharmacy Dispensing Site
- Chico, CA
- NPI 1962873265
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- Home Health Agency
- Auburn, CA
- NPI 1417987751
-
- Home Health Agency
- Roseville, CA
- NPI 1770512535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1073076782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 FOREST AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959287680",
"telephone_number": "530-895-3668"
}
],
"practiceLocations": [
{
"address_1": "2601 E Roosevelt St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850084973",
"country_code": "US",
"telephone_number": "602-344-5011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 21st St Ste R",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958115226",
"country_code": "US",
"telephone_number": "916-300-9633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIPE",
"first_name": "KENTSTON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "5846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255147",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.