| NPI | 1073076782 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2019-04-09 |
| Last Updated | 2023-01-26 |
| Mailing Address | 2601 E Roosevelt St Phoenix, AZ 85008-4973 United States 📍 View Map |
| Primary Practice Address | 2103 Forest Ave Chico, CA 95928-7680 United States Phone: (530) 895-3668 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 100255147 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 213E00000X – Podiatrist | CA | 5846 |
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About NPI 1073076782
Kentston Cripe DPM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073076782. The primary specialty listed is Podiatrist. The provider is located in Chico, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-04-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073076782?
NPI 1073076782 belongs to Kentston Cripe DPM, a Podiatrist in Chico, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073076782 active?
The current status of NPI 1073076782 in the NPPES registry is Active. The record was last updated on 2023-01-26.
What specialty is NPI 1073076782?
NPI 1073076782 is classified under the taxonomy Podiatrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073076782?
You can verify NPI 1073076782 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073076782?
The primary practice address on file for NPI 1073076782 is 2103 Forest Ave, Chico, CA 95928-7680. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073076782 issued?
NPI 1073076782 was first issued (enumerated) on 2019-04-09. The NPPES record was last updated on 2023-01-26.
Practice Location Map
Kentston Cripe is located at 2103 Forest Ave, Chico, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kentston Cripe. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073076782. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist | 5846 | CA |