Organization Active NPI

Kantan PLLC

  • Foot & Ankle Surgery Podiatrist
  • Spokane Valley, WA
National Provider Identifier
1194778043
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 774 Issued in WA
Legal business name
KANTAN PLLC
Practice address
1005 N Pines Rd Ste 110
Spokane Valley, WA 99206-4958
Phone
(509) 926-5518
Fax
(509) 922-9892
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Clint Jones, DPMNPI 1174519359
Title
President / Physician
Phone
(509) 926-5518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO 774 WA Primary

Addresses

Primary practice location

1005 N Pines Rd Ste 110
Spokane Valley, WA 99206-4958

Mailing address

1005 N Pines Rd
Suite 110
Spokane Valley, WA 99206-4986
Phone (509) 926-5518

Other identifiers 2

IdentifierTypeStateIssuer
P00210998OtherWARR GROUP #
1121722OtherWADSHS

Other names 1

  • INSTEP FOOT AND ANKLE Doing business as

National Provider Directory

National Provider Directory

Locations

11707 E Sprague Ave
Ste 302
Spokane Valley, WA 99206
Phone (509) 926-5518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1194778043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD",
            "address_2": "SUITE 110",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064986",
            "telephone_number": "509-926-5518",
            "fax_number": "509-922-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N PINES RD STE 110",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064958",
            "telephone_number": "509-926-5518",
            "fax_number": "509-922-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "509-926-5518",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO 774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP #",
            "identifier": "P00210998",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1121722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSTEP FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.