Active NPI
Sandpoint Surgical Associates
- Surgery Physician
- Sandpoint, ID
National Provider Identifier
1992040356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SANDPOINT SURGICAL ASSOCIATES
- Practice address
- 502 N Second Ave
Suite 3
Sandpoint, ID 83864-1558 - Phone
- (208) 263-1421
- Fax
- (208) 263-4430
- NPI assigned
- Dec 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan C Kanning, M.D.
- Title
- Owner
- Phone
- (208) 263-1421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
502 N Second Ave
Suite 3
Sandpoint, ID 83864-1558
Mailing address
502 N Second Ave
Suite 3
Sandpoint, ID 83864-1558
Phone (208) 263-1421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
414 Church St
Ste 206
Sandpoint, ID 83864
Phone (208) 263-1421
502 N Second Ave
Ste 3
Sandpoint, ID 83864
Phone (208) 263-1421
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Sandpoint, ID
- NPI 1740486216
-
- Surgery Physician
- Sandpoint, ID
- NPI 1710372370
-
- Surgery Physician
- Sandpoint, ID
- NPI 1942460183
-
- Surgery Physician
- Sandpoint, ID
- NPI 1619974441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355184000000",
"number": "1992040356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N SECOND AVE",
"address_2": "SUITE 3",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641558",
"telephone_number": "208-263-1421",
"fax_number": "208-263-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N SECOND AVE",
"address_2": "SUITE 3",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641558",
"telephone_number": "208-263-1421",
"fax_number": "208-263-4430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDPOINT SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A",
"authorized_official_last_name": "KANNING",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-263-1421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.