Individual provider Active NPI

Sanford Martin Chesler, DPM

  • Foot & Ankle Surgery Podiatrist
  • Avondale, AZ
National Provider Identifier
1508864703
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00145 Issued in AZ
Practice address
2120 N 124TH Dr
Avondale, AZ 85392-6516
Phone
(623) 521-8110
Fax
(623) 935-6911
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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 00145 AZ Primary

Addresses

Primary practice location

2120 N 124TH Dr
Avondale, AZ 85392-6516

Mailing address

2120 N 124TH Dr
Avondale, AZ 85392-6516
Phone (623) 521-8110

Other identifiers 1

IdentifierTypeStateIssuer
458887MedicaidAZ

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

LicenseStateTypeSpecialty
00145AZMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1508864703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N 124TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926516",
            "telephone_number": "623-521-8110",
            "fax_number": "623-935-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N 124TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926516",
            "telephone_number": "623-521-8110",
            "fax_number": "623-935-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLER",
        "first_name": "SANFORD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "00145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.