Diaz Foot & Ankle Center PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103300814 Issued in VA

Legal business name

DIAZ FOOT & ANKLE CENTER PLLC

Practice address

612 Kingsborough SQ
Suite 202
Chesapeake, VA 23320-5041

Phone

(757) 673-8562

Fax

(757) 673-8174

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Rex G Diaz, DPM

Title

President

Phone

(757) 673-8562

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1124308507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6480",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560480",
            "telephone_number": "757-673-8562",
            "fax_number": "757-673-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KINGSBOROUGH SQ",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205041",
            "telephone_number": "757-673-8562",
            "fax_number": "757-673-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ FOOT & ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-673-8562",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandana Dhawan, M.D.
• Lan Anh Dhillon
• Rajinder Singh Dhillon, MD
• Danielle Diamond
• Dianne McNeill, MD, PLLC
• Rex Galam Diaz, DPM
• Steven Edward Dichiara, CRNA
• Carolyn Monique Dickens
• Cheri Denise Dickenson, ANP
• Evelyn Lorraine Dickson, VOLUNTEER DRIVER

• Podiatrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.