Individual provider Active NPI

Keith A Canter, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Coon Rapids, MN
National Provider Identifier
1497195226
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TP-197 Issued in MN
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

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001403 MN Practitioner - Podiatry 0446557193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

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

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TP-197MNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
North Memorial Health Care CurrentSince Jun 29, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.