J. Chris Christopher Kantarian, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

M524 Issued in ID

Practice address

100 Warm Springs Ave
Ste B
Boise, ID 83712-6243

Phone

(208) 381-6930

Fax

(208) 381-6931

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1699774042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARM SPRINGS AVE",
            "address_2": "STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126243",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTARIAN",
        "first_name": "J. CHRIS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M524",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ID",
            "license": "M524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Richard Kane, MSW
• Katherine Dolores Kane, PH.D.
• Peter L Kane
• Albert Kang
• Kenneth Richard Kannenberg, CRNA
• Vivek Kantayya, MD
• Carl Behram Kapadia, M.D., M.SC.
• Jessica Mary Kapinos, PMHNP-BC
• Deprise Lynn Kappel, LCPC
• Beth Anne Kappes, MSPT

• Colon & Rectal Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Colon & Rectal Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.