Individual provider Active NPI

Christina L Kranc, M.D.

  • Dermatology Physician
  • Scottsdale, AZ
National Provider Identifier
1447505755
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
53000 Issued in AZ
Practice address
10200 N 92ND St Ste 205
Scottsdale, AZ 85258-4536
Phone
(602) 494-1817
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036141198 IL
General Practice Physician 208D00000X 125062032 IL
Dermatology Physician 207N00000X 53000 AZ Primary

Addresses

Primary practice location

10200 N 92ND St Ste 205
Scottsdale, AZ 85258-4536

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (602) 494-1817

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL swskin.ema.md

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413001225 AZ Practitioner - Dermatology 3971809344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 205
Scottsdale, AZ 85258-4536
Phone (602) 494-1817

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1548
Removal or shaving of skin growth1-10
Skin biopsy315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036141198ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists, LLC CurrentSince May 22, 2017 Accepting new patients
Southwest Skin Specialists LLC Dermatology CurrentSince May 22, 2017 Accepting new patients
Kidney and Hypertension Consultants, S.C. PastSince Aug 16, 2002 Accepting new patients

Locations

4400 N 32nd St
Ste 140
Phoenix, AZ 85018
Phone (602) 254-1429

11130 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 494-1817

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817

10200 N 92nd St
Ste 250
Scottsdale, AZ 85258

5310 Harvest Hill Rd
Ste 2900
Dallas, TX 75230

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1447505755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "602-494-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 N 92ND ST STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584536",
            "telephone_number": "602-494-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANC",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036141198",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "125062032",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "53000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "swskin.ema.md",
            "affiliation": "N",
            "address_1": "10200 N 92nd St Ste 205",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.