Individual provider Active NPI

Christopher Van Damme

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1053817452
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0001002 Issued in AZ
Practice address
4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969
Phone
(480) 812-6882
NPI assigned
Apr 4, 2018
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0001002 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969

Mailing address

1728 W Glendale Ave Ste 100
Phoenix, AZ 85021-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721003641 AZ Practitioner - Podiatry 9234532763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Ankle Specialty Centers, LLCGroup PAC ID 7517058381, 7 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2969
Phone (480) 812-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue189
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001002AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Ankle Specialty Centers, LLC Podiatrist CurrentSince Jul 12, 2021 Accepting new patients

Locations

1600 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (240) 743-7869

4915 E Baseline Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 812-3668

215 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 985-9005

1728 W Glendale Ave
Ste 100
Phoenix, AZ 85021
Phone (480) 812-3668

2228 W Northern Ave
Ste B101
Phoenix, AZ 85021

6565 E Greenway Pkwy
Ste 101
Scottsdale, AZ 85254
Phone (480) 948-2056

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFJEAA/Endpoint/CFJEAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1053817452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAMME",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.