Advanced Foot and Ankle Clinics PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

133 Issued in AR

Legal business name

ADVANCED FOOT AND ANKLE CLINICS PA

Practice address

903 SE 22ND St
Ste 1
Bentonville, AR 72712-4196

Phone

(479) 271-5353

Fax

(479) 254-0698

NPI assigned

Mar 30, 2007

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Samuel Pirotta, DPMNPI 1053311944

Title

Podiatrist

Phone

(479) 271-5353

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Advanced foot and ankle clinics Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

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.

• Stephen Samuel Pirotta, DPM

  • Podiatrist
  • Bentonville, AR
  • NPI 1053311944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1114047438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SE 22ND ST",
            "address_2": "STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124196",
            "telephone_number": "479-271-5353",
            "fax_number": "479-254-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SE 22ND ST",
            "address_2": "STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124196",
            "telephone_number": "479-271-5353",
            "fax_number": "479-254-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT AND ANKLE CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "PIROTTA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "479-271-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129008748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "480033075",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "129007717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced foot and ankle clinics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Podiatrist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.