Individual provider Active NPI

Matthew E. Kaiman, D.P.M.

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1629066337
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0806 Issued in AZ
Practice address
7534 E 2ND St
102
Scottsdale, AZ 85251-4548
Phone
(480) 607-3800
Fax
(480) 607-3808
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0806 AZ Primary
Sports Medicine Podiatrist 213ES0000X 0806 AZ

Addresses

Primary practice location

7534 E 2ND St
102
Scottsdale, AZ 85251-4548

Mailing address

7534 E 2ND St
102
Scottsdale, AZ 85251-4548
Phone (480) 607-3800

Other identifiers 1

IdentifierTypeStateIssuer
1820001MedicaidAZ

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
0806AZMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy and Healthy Feet LLC Past Accepting new patients
Scottsdale Primary Care, PC PastSince Dec 26, 2012 Accepting new patients

Organizations & group practices 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1629066337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7534 E 2ND ST",
            "address_2": "102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514548",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7534 E 2ND ST",
            "address_2": "102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514548",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAN",
        "first_name": "MATTHEW",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0806",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "AZ",
            "license": "0806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.