Organization Active NPI

Foot Specialist Associates P.C.

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
National Provider Identifier
1013195924
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00402 Issued in CO
Legal business name
FOOT SPECIALIST ASSOCIATES P.C.
Practice address
4055 S Broadway
Englewood, CO 80113-4695
Phone
(303) 722-6864
Fax
(303) 722-5113
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mrs. Peggy J. Daugherty
Title
Office MGR.
Phone
(303) 722-6864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00402 CO Primary

Addresses

Primary practice location

4055 S Broadway
Englewood, CO 80113-4695

Mailing address

4055 S Broadway # 300
Englewood, CO 80113-4695
Phone (303) 722-6864

Other identifiers 1

IdentifierTypeStateIssuer
01004027MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053878 CO DME Supplier - Physician - Podiatry 6507977279 Practice locations: Denver, CO
O20110106000141 CO Part B Supplier - Clinic/Group Practice 6507977279 Receives reassigned benefits from 3 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

950 E Harvard Ave
Ste 300
Denver, CO 80210
Phone (303) 722-6864

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73866

Practitioners & affiliated clinicians

Practitioners 3

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": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1013195924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 S BROADWAY # 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134695",
            "telephone_number": "303-722-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134695",
            "telephone_number": "303-722-6864",
            "fax_number": "303-722-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALIST ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "303-722-6864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "00402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004027",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.