Organization Active NPI

On Point Podiatry PLLC

  • Podiatrist
  • Glendale, AZ
National Provider Identifier
1003681271
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ON POINT PODIATRY PLLC
Practice address
6677 W Thunderbird Rd Ste J171
Glendale, AZ 85306-3703
Phone
(623) 226-5442
Fax
(480) 383-6308
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Jessica Randolph, DPMNPI 1053788000
Title
Owner/DPM
Phone
(623) 330-0279

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste J171
Glendale, AZ 85306-3703

Mailing address

6635 W Happy Valley Rd Ste A104-276
Glendale, AZ 85310-2609
Phone (623) 226-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240125002713 AZ Part B Supplier - Clinic/Group Practice 8820441892 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ
O20241009000434 AZ DME Supplier - Physician - PodiatryDME Supplier - Sports Medicine 8820441892 Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

6677 W Thunderbird Rd
Ste J171
Glendale, AZ 85306
Phone (602) 795-7256

6635 W Happy Valley Rd
Glendale, AZ 85310
Phone (602) 649-4040

6635 W Happy Valley Rd
Ste A104276
Glendale, AZ 85310

20333 N 19th Ave
Phoenix, AZ 85027

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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1003681271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-276",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "623-226-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE J171",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063703",
            "telephone_number": "623-226-5442",
            "fax_number": "480-383-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON POINT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/DPM",
        "authorized_official_telephone_number": "623-330-0279",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.