Anton Nikitin
Driver • Chandler, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anton Nikitin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Anton Nikitin was a registered Driver practicing in Chandler, AZ. Throughout an active medical career spanning 1 years, Anton Nikitin provided care at the practice location at 2329 W CHEYENNE DR until profile deactivation on 2021-09-16.
Practice Location & Contact Primary Location
2329 W Cheyenne Dr
Chandler, AZ 852241766
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Chandler, AZ
Practicing in Chandler, AZ (109 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 16, 2021
Driver
NPI status registered as active in NPPES database
Registered at 2329 W CHEYENNE DR, CHANDLER, AZ 852241766 (Tel: 4803889608)
Registered at 2329 W CHEYENNE DR, CHANDLER, AZ 852241766 (Tel: 4803889608)
Recorded as ANTON NIKITIN
Driver (License #D00073410 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2329 W Cheyenne Dr
Chandler, AZ 852241766
Phone: 4803889608
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