NPIMap

Organization Active NPI

Darlo G Vander Wilt DPM

  • Foot & Ankle Surgery Podiatrist
  • Albuquerque, NM
National Provider Identifier
1073752127
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
099 Issued in NM
Legal business name
DARLO G VANDER WILT DPM
Practice address
718 Lomas Blvd NW
Albuquerque, NM 87102-2073
Phone
(505) 843-6464
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. Darlo Vander Wilt, DPMNPI 1093711087
Title
President/Owner
Phone
(505) 843-6464

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 099 NM Primary

Addresses

Primary practice location

718 Lomas Blvd NW
Albuquerque, NM 87102-2073

Mailing address

718 Lomas Blvd NW
Albuquerque, NM 87102-2073
Phone (505) 843-6464

National Provider Directory

National Provider Directory

Locations

718 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 247-3463

Practitioners & affiliated clinicians

Practitioners 2

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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1073752127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLO G VANDER WILT DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "VANDER WILT",
        "authorized_official_first_name": "DARLO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-843-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.