Anclote Podiatry, Inc.

Organization Active NPI Podiatrist · Tarpon Springs, FL

NPI 1033710744 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1033710744
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
Legal business name
ANCLOTE PODIATRY, INC.
Practice address
42674 US Highway 19 N
Tarpon Springs, FL 34689-6211
Phone
(727) 937-6398
Fax
(727) 937-6568
NPI assigned
Nov 9, 2020
Organization subpart
No

Authorized official

Name
Dr. Christopher Paul Roever, D.P.M. NPI 1508148933
Title
President
Phone
(727) 937-6398

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201207000729 FL Part B Supplier - Clinic/Group Practice 7214349703 Receives reassigned benefits from 1 practitioner
Practice locations: Tarpon Springs, FL
O20201228001356 FL DME Supplier - Physician - Podiatry 7214349703 Practice locations: Tarpon Springs, FL

National Provider Directory

Locations

1651 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 934-1000

42674 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 934-7877

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
213E00000X Yes

Addresses

Primary practice location

42674 US Highway 19 N
Tarpon Springs, FL 34689-6211

Mailing address

42674 US Highway 19 N
Tarpon Springs, FL 34689-6211
Phone (727) 937-6398

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2025.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1033710744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42674 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896211",
            "telephone_number": "727-937-6398",
            "fax_number": "727-937-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42674 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896211",
            "telephone_number": "727-937-6398",
            "fax_number": "727-937-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCLOTE PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ROEVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-937-6398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

All providers in Tarpon Springs, FL · Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.