Organization Active NPI

Cheyenne Foot & Ankle Inc

  • Primary Podiatric Medicine Podiatrist
  • Canon City, CO
National Provider Identifier
1003083841
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
642 Issued in CO
Legal business name
CHEYENNE FOOT & ANKLE INC
Practice address
1335 Phay Ave
Suite D
Canon City, CO 81212-2334
Phone
(719) 275-1037
Fax
(719) 275-1305
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Jennifer V Yull, DPMNPI 1548240609
Title
Physician Owner
Phone
(719) 576-2080

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 642 CO Primary

Addresses

Primary practice location

1335 Phay Ave
Suite D
Canon City, CO 81212-2334

Mailing address

2620 Tenderfoot Hill St
Ste 10
Colorado Springs, CO 80906-8353
Phone (719) 576-2080

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1003083841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 TENDERFOOT HILL ST",
            "address_2": "STE 10",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068353",
            "telephone_number": "719-576-2080",
            "fax_number": "719-576-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE",
            "address_2": "SUITE D",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122334",
            "telephone_number": "719-275-1037",
            "fax_number": "719-275-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "YULL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "719-576-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.