Active NPI
Rodney A Kander, DPM
- Primary Podiatric Medicine Podiatrist
- Lovettsville, VA
National Provider Identifier
1689776114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 0103000592
- Practice address
- 14200 Milltown Rd
Lovettsville, VA 20180-3314 - Phone
- (703) 727-3689
- NPI assigned
- Sep 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0103000592 | VA | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 0103000592 | VA |
Addresses
Primary practice location
14200 Milltown Rd
Lovettsville, VA 20180-3314
Mailing address
PO Box 234
Waterford, VA 20197-0234
Phone (703) 727-3689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9302921 | Medicaid | VA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000592 | VA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatric Care of Northern Virginia, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1689776114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 234",
"city": "WATERFORD",
"state": "VA",
"postal_code": "201970234",
"telephone_number": "703-727-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14200 MILLTOWN RD",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201803314",
"telephone_number": "703-727-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDER",
"first_name": "RODNEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "VA",
"license": "0103000592",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "VA",
"license": "0103000592",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9302921",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovettsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.