Organization Active NPI

Valley Foot & Ankle, LLC

  • Podiatrist
  • Chandler, AZ
National Provider Identifier
1114039559
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
570 Issued in AZ
Legal business name
VALLEY FOOT & ANKLE, LLC
Practice address
3800 W Ray Rd Ste 5
Chandler, AZ 85226-5940
Phone
(623) 535-0293
NPI assigned
Aug 31, 2006
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Alex Bui, DPMNPI 1689653008
Title
Owner
Phone
(623) 535-0293

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 570 AZ Primary

Addresses

Primary practice location

3800 W Ray Rd Ste 5
Chandler, AZ 85226-5940

Mailing address

10320 W McDowell Rd
# M-1341
Avondale, AZ 85392-4863
Phone (623) 535-0293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061011000796 AZ Part B Supplier - Clinic/Group Practice 0941206189 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

10320 W McDowell Rd
Ste M1341
Avondale, AZ 85392
Phone (623) 535-0293

13657 W McDowell Rd
Ste 101
Goodyear, AZ 85395
Phone (623) 535-0293

10565 N 114th St
Ste 102
Scottsdale, AZ 85259
Phone (480) 934-0170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1114039559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "# M-1341",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-535-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "623-535-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-535-0293",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 8, 2018; 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.