Active NPI
Kenneth P Rowe, DPM
- Podiatrist
- Phoenix, AZ
National Provider Identifier
1376522987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 109
- Practice address
- 2720 E Thomas Rd Ste 270C
Phoenix, AZ 85016-8252 - Phone
- (602) 263-1118
- Fax
- (602) 264-5432
- NPI assigned
- Jan 11, 2006
- 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 | 109 | AZ | Primary |
Addresses
Primary practice location
2720 E Thomas Rd Ste 270C
Phoenix, AZ 85016-8252
Mailing address
2720 E Thomas Rd Ste 270C
Phoenix, AZ 85016-8252
Phone (602) 263-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700139 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109 | AZ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1376522987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 E THOMAS RD STE 270C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168252",
"telephone_number": "602-263-1118",
"fax_number": "602-264-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 E THOMAS RD STE 270C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168252",
"telephone_number": "602-263-1118",
"fax_number": "602-264-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "KENNETH",
"middle_name": "P",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700139",
"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 Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.