Individual provider Active NPI

Katheryne W Glantz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sparks, NV
National Provider Identifier
1821174145
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
9103A Issued in NV
Practice address
2345 E Prater Way
315
Sparks, NV 89434-9639
Phone
(775) 331-3668
Fax
(775) 331-3649
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 9103A NV Primary

Addresses

Primary practice location

2345 E Prater Way
315
Sparks, NV 89434-9639

Mailing address

2345 E Prater Way
#315
Sparks, NV 89434-9639
Phone (775) 331-3668

Other names 1

  • Katheryne Waltz Glantz Other name

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
9103ANVMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1821174145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "#315",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349639",
            "telephone_number": "775-331-3668",
            "fax_number": "775-331-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "315",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349639",
            "telephone_number": "775-331-3668",
            "fax_number": "775-331-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANTZ",
        "first_name": "KATHERYNE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "9103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYNE",
            "last_name": "GLANTZ",
            "middle_name": "WALTZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.