Organization Active NPI

Jill Carole Kranzow DPM PA

  • Podiatrist
  • Plano, TX
National Provider Identifier
1740463710
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1283 Issued in TX
Legal business name
JILL CAROLE KRANZOW DPM PA
Practice address
6309 Preston Rd
Suite 1200
Plano, TX 75024-2606
Phone
(972) 769-7280
Fax
(972) 769-7287
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Jill C Kranzow, DPM
Title
Owner
Phone
(972) 769-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1283 TX Primary

Addresses

Primary practice location

6309 Preston Rd
Suite 1200
Plano, TX 75024-2606

Mailing address

6309 Preston Rd
Suite 1200
Plano, TX 75024-2606
Phone (972) 769-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040617000575 TX Part B Supplier - Clinic/Group Practice 3577547488 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX; Plano, TX
O20150528002896 TX DME Supplier - Physician - Podiatry 3577547488 Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1740463710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242606",
            "telephone_number": "972-769-7280",
            "fax_number": "972-769-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 PRESTON RD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242606",
            "telephone_number": "972-769-7280",
            "fax_number": "972-769-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL CAROLE KRANZOW DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "KRANZOW",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-769-7280",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.