Active NPI
Carl Van Gils, DPM, PC
- Podiatrist
- Panguitch, UT
National Provider Identifier
1104018308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 3739380501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 DirectoryNPI 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.