NPIMap

Organization Active NPI

Modern Foot & Ankle Centers, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1104083369
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MODERN FOOT & ANKLE CENTERS, PLLC
Practice address
600 S Dobson Rd Ste E40
Chandler, AZ 85224-5693
Phone
(480) 909-3700
Fax
(877) 839-9972
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ilona Evzen Siglova
Title
Practice Manager
Phone
(480) 909-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

600 S Dobson Rd Ste E40
Chandler, AZ 85224-5693

Mailing address

2680 S Val Vista Dr Ste 177
Gilbert, AZ 85295-1674
Phone (480) 909-3700

Other practice location 1

2680 S Val Vista Dr Ste 177
Gilbert, AZ 85295-1674
Phone (480) 909-3700

Other names 1

  • Marvel Foot & Ankle Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Foot Ankle Specia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1104083369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 177",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951674",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE E40",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245693",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 S Val Vista Dr Ste 177",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951674",
            "country_code": "US",
            "telephone_number": "480-909-3700",
            "fax_number": "877-839-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN FOOT & ANKLE CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SIGLOVA",
        "authorized_official_first_name": "ILONA",
        "authorized_official_middle_name": "EVZEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-909-3700"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marvel Foot & Ankle Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.