Dan Bangart PLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0345 Issued in AZ

Legal business name

DAN BANGART PLC

Practice address

13660 N 94TH Drive
Suite F-1
Peoria, AZ 85381-4323

Phone

(623) 974-0522

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dan Bangart

Title

President

Phone

(623) 974-0522

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/mXy5ruQtMW3KrdcgJMyfKw06O9IkfnI0/

Practitioners 2

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

• Daniel L Bangart, DPM

  • Podiatrist
  • Peoria, AZ
  • NPI 1447220678
  Medicare reassignment NPD
• Steven Shane Moore, DPM

  • Podiatrist
  • Peoria, AZ
  • NPI 1306101571
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1962689489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DRIVE",
            "address_2": "SUITE F-1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814323",
            "telephone_number": "623-974-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DRIVE",
            "address_2": "SUITE F-1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814323",
            "telephone_number": "623-974-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN BANGART PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "BANGART",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-974-0522"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480026137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "186206",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0190790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Dahmer, M.D.
• Vicki Lou Daigle, RN
• Jennifer K. Dais, M.D.
• Sharilyn M Dalton, PA
• Jacob Daly, D.C.
• Dan Leber Optometrist PLLC
• Dang Dental PLLC
• Daniel R Gano PLLC
• Michele Daniel, PT
• Danielle a Reed LCSW PLLC

• Podiatrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.