Christopher R Dpersio DPM Prof LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

531 Issued in CO

Legal business name

CHRISTOPHER R DPERSIO DPM PROF LLC

Practice address

5 Stadium PL
Pueblo, CO 81004-1129

Phone

(719) 584-3338

Fax

(719) 584-3337

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Dipersio

Title

Office Manager

Phone

(719) 584-3338

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1083814883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STADIUM PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041129",
            "telephone_number": "719-584-3338",
            "fax_number": "719-584-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STADIUM PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041129",
            "telephone_number": "719-584-3338",
            "fax_number": "719-584-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER R DPERSIO DPM PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DIPERSIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-584-3338"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CO",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39577376",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin W Chrisman, AGACNP-BC, FNP-BC
• Christoper James Christensen
• Christopher Anthony Christiansen, PHARMD
• Kyle Christiansen, DO
• Christopher G. Vialpando M.D. PLLC
• Christopher Y C Louie MD PC
• Chrysalisis; a New Shift in Life
• Nancy S Chuch, MD
• Ethan John Chupka, CRNA
• Jacqueline Ciancio

• Podiatric Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Podiatric Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.