Active NPI
San Tan Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
National Provider Identifier
1285054049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0672
- Legal business name
- SAN TAN FOOT AND ANKLE
- Practice address
- 325 E Baseline Rd
Phoenix, AZ 85042-6510 - Phone
- (480) 917-2300
- NPI assigned
- Apr 21, 2014
- Organization subpart
- Yes
- Parent organization
- SAN TAN FOOT AND ANKLE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Spencer Niemann, DPM
- Title
- Provider
- Phone
- (480) 917-2300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0672 | AZ | Primary |
Addresses
Primary practice location
325 E Baseline Rd
Phoenix, AZ 85042-6510
Mailing address
3200 S Alma School Rd
203
Chandler, AZ 85248-3757
Phone (480) 917-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805048 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- San Tan Foot and Ankle PLLC
- Part of
- San Tan Foot and Ankle PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Chandler, AZ
- NPI 1255692703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chandler, AZ
- NPI 1841462421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398038400000",
"number": "1285054049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S ALMA SCHOOL RD",
"address_2": "203",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483757",
"telephone_number": "480-917-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E BASELINE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426510",
"telephone_number": "480-917-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN TAN FOOT AND ANKLE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAN TAN FOOT AND ANKLE",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A",
"authorized_official_last_name": "NIEMANN",
"authorized_official_first_name": "SPENCER",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "480-917-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805048",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.