Agave Podiatry, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0582 Issued in AZ

Legal business name

AGAVE PODIATRY, LLC

Practice address

10440 E Riggs Rd
Suite 160
Sun Lakes, AZ 85248-7751

Phone

(480) 895-7600

Fax

(480) 895-7601

NPI assigned

Oct 15, 2008

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Margaret Peters, DPM

Title

Podiatrist

Phone

(480) 231-6231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1023260692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S TOWER AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862672",
            "telephone_number": "480-231-6231",
            "fax_number": "480-883-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD",
            "address_2": "SUITE 160",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487751",
            "telephone_number": "480-895-7600",
            "fax_number": "480-895-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "480-231-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Foot Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.