Organization Active NPI

Deha K Karaoglan

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa, CA
National Provider Identifier
1548562697
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4703 Issued in CA
Legal business name
DEHA K KARAOGLAN
Doing business as
Deha Karaoglan DPM
Practice address
1041 4TH St Ste B
Santa Rosa, CA 95404-4329
Phone
(707) 526-4777
Fax
(707) 526-8809
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Deha Kaya Karaoglan, DPM
Title
Proprietor
Phone
(707) 526-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4703 CA Primary

Addresses

Primary practice location

1041 4TH St Ste B
Santa Rosa, CA 95404-4329

Mailing address

1041 4TH St Ste B
Santa Rosa, CA 95404-4329
Phone (707) 526-4777

Other names 1

  • Deha Karaoglan DPM Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1548562697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 4TH ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 4TH ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEHA K KARAOGLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "KARAOGLAN",
        "authorized_official_first_name": "DEHA",
        "authorized_official_middle_name": "KAYA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "707-526-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deha Karaoglan DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.