Individual provider Active NPI

Daniel L Bangart, DPM

  • Podiatrist
  • Peoria, AZ
National Provider Identifier
1447220678
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
345 Issued in AZ
Practice address
13660 N 94TH Dr
Ste F1
Peoria, AZ 85381-4232
Phone
(623) 974-0522
Fax
(623) 933-5787
NPI assigned
Jan 23, 2006
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 345 AZ Primary

Addresses

Primary practice location

13660 N 94TH Dr
Ste F1
Peoria, AZ 85381-4232

Mailing address

13660 N 94TH Dr
Ste F1
Peoria, AZ 85381-4232
Phone (623) 974-0522

Other identifiers 4

IdentifierTypeStateIssuer
186206OtherAZAHCCCS
480026137OtherAZMEDICARE RAILROAD
5059650001OtherMEDICARE NSC
AZ0190790OtherAZBLUE CROSS

Other names 1

  • Dr. Daniel L Bangart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000621 AZ Practitioner - Podiatry 4082600010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13660 N 94TH Dr
Suite D1
Peoria, AZ 85381-4836

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue187
Removal of skin lesions356
Removal of nail tissue414
Removal or shaving of skin growth360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neptune Medical Services LLC Current Accepting new patients
Jupiter Medical Services LLC Current Accepting new patients
Alliance Medical Specialists, PLLC Podiatrist CurrentSince Sep 28, 2024 Accepting new patients
Dan Bangart PLC Podiatrist CurrentSince Jul 1, 1966 Accepting new patients
C.a.R.E. Pharmacy, LLC Current Accepting new patients
Arrowhead North Surgery Center PastSince Jul 13, 2020 Accepting new patients

Locations

13660 N 94th Dr
Peoria, AZ 85381
Phone (602) 875-1637

13660 N 94th Dr
Ste A3
Peoria, AZ 85381
Phone (623) 933-4645

13660 N 94th Dr
Ste D1
Peoria, AZ 85381
Phone (623) 230-2912

13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mXy5ruQtMW3KrdcgJMyfKw06O9IkfnI0/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1447220678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "STE F1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814232",
            "telephone_number": "623-974-0522",
            "fax_number": "623-933-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGART",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "186206",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480026137",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5059650001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0190790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "BANGART",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.