Organization Active NPI

Carl Van Gils, DPM, PC

  • Podiatrist
  • Panguitch, UT
National Provider Identifier
1104018308
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3739380501 Issued in UT
Legal business name
CARL VAN GILS, DPM, PC
Practice address
25 N 300 West
Panguitch, UT 84759
Phone
(435) 632-6682
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Carl C Van Gils, DPM
Title
President
Phone
(435) 632-6682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 3739380501 UT Primary

Addresses

Primary practice location

25 N 300 West
Panguitch, UT 84759

Mailing address

31 S Reflection Way
St George, UT 84770-8042
Phone (435) 632-6682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1104018308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S REFLECTION WAY",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847708042",
            "telephone_number": "435-632-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 300 WEST",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "84759",
            "telephone_number": "435-632-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL VAN GILS, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "VAN GILS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-632-6682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "3739380501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panguitch, UT

Sources for this page

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