Active NPI
Joshua Kanner, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1811333255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R73808
- Practice address
- 925 E McDowell Rd
4TH Floor
Phoenix, AZ 85006-2502 - Phone
- (602) 839-6880
- Fax
- (602) 839-6988
- NPI assigned
- May 13, 2013
- Last updated
- May 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R73808 | AZ | Primary |
Addresses
Primary practice location
925 E McDowell Rd
4TH Floor
Phoenix, AZ 85006-2502
Mailing address
925 E McDowell Rd
4TH Floor
Phoenix, AZ 85006-2502
Phone (602) 839-6880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 6, 2017 through Dec 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R73808 | AZ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1811333255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E MCDOWELL RD",
"address_2": "4TH FLOOR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062502",
"telephone_number": "602-839-6880",
"fax_number": "602-839-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E MCDOWELL RD",
"address_2": "4TH FLOOR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062502",
"telephone_number": "602-839-6880",
"fax_number": "602-839-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNER",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "R73808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.