Active NPI
Keith A Canter, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- TP-197
- Practice address
- 3790 117TH LN NW
Coon Rapids, MN 55433-2666 - Phone
- (763) 571-7142
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | TP-197 | MN | Primary |
Addresses
Primary practice location
3790 117TH LN NW
Coon Rapids, MN 55433-2666
Mailing address
1935 139TH Ave NW
Andover, MN 55304-4358
Phone (612) 382-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 39TH Ave NE
Minneapolis, MN 55421-4379
Phone (651) 430-3800
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400
4209 Webber Pkwy
Minneapolis, MN 55412-1747
Phone (763) 581-2273
800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273
8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-2273
8301 Golden Valley Rd
Suite 100
Golden Valley, MN 55427-4469
Phone (763) 581-2273
9855 Hospital Dr
Maple Grove, MN 55369-4648
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 28 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP-197 | MN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| West Imaging, LLC | Past | Accepting new patients | |
| North Memorial Health Care | Past | Accepting new patients |
Locations
4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555
5615 Xerxes Ave N
Brooklyn Center, MN 55430
Phone (763) 581-5630
800 Freeport Ave NW
Elk River, MN 55330
Phone (763) 257-8000
800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200
9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220
9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
8301 Golden Valley Rd
Minneapolis, MN 55427
Phone (763) 581-0933
4209 Webber Pkwy
Minneapolis, MN 55412
Phone (763) 553-0544
8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200
8559 Edinbrook Pkwy
Minneapolis, MN 55443
Phone (763) 425-3644
8100 42nd Ave N
New Hope, MN 55427
Phone (763) 581-5700
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
Interoperability endpoints
- kcanter89365@direct.northmemorial.com
Organizations & group practices 4
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.
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
dba North Memorial Health Specialty Clinic
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1871927715
-
dba Minneapolis Radiology-Robbinsdale
- Diagnostic Radiology Physician
- Robbinsdale, MN
- NPI 1053311399
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1497195226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 139TH AVE NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553044358",
"telephone_number": "612-382-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 117TH LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332666",
"telephone_number": "763-571-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTER",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MN",
"license": "TP-197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.