Organization Active NPI

Capital Foot & Ankle Centers, PC

  • Foot & Ankle Surgery Podiatrist
  • Okemos, MI
National Provider Identifier
1104941400
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
JG002023 Issued in MI
Legal business name
CAPITAL FOOT & ANKLE CENTERS, PC
Practice address
2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-4528
Phone
(517) 853-8951
Fax
(517) 913-5996
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Joseph Vincent Gonzalez, DPMNPI 1609871037
Title
President
Phone
(517) 853-8951

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 JG002023 MI Primary

Addresses

Primary practice location

2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-4528

Mailing address

2843 E Grand River Ave
#235
East Lansing, MI 48823-6722
Phone (517) 853-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000453 MI Part B Supplier - Clinic/Group Practice 7012817778 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Ledge, MI; Okemos, MI; Saint Johns, MI

National Provider Directory

National Provider Directory

Locations

2843 E Grand River Ave
Ste 235
East Lansing, MI 48823
Phone (517) 863-8951

1035 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 324-3700

1005 Charlevoix Dr
Ste 180
Grand Ledge, MI 48837
Phone (517) 622-1775

2321 Club Meridian Dr
Ste B
Okemos, MI 48864
Phone (517) 349-6140

2133 University Park Dr
Ste 100
Okemos, MI 48864
Phone (517) 853-8951

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1104941400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 E GRAND RIVER AVE",
            "address_2": "#235",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236722",
            "telephone_number": "517-853-8951",
            "fax_number": "517-913-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOLLY OAK RD",
            "address_2": "SUITE 1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644528",
            "telephone_number": "517-853-8951",
            "fax_number": "517-913-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL FOOT & ANKLE CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-853-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "JG002023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.