Organization Active NPI

Foot and Ankle Center of Arizona PC

  • Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1144326562
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0643 Issued in AZ
Legal business name
FOOT AND ANKLE CENTER OF ARIZONA PC
Practice address
7304 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7459
Phone
(480) 342-9999
Fax
(480) 342-7169
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Kris Dinucci, DPMNPI 1669416210
Title
Owner/Provider
Phone
(480) 342-9999

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 0643 AZ Primary

Addresses

Primary practice location

7304 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7459

Mailing address

7304 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7459
Phone (480) 342-9999

Other identifiers 3

IdentifierTypeStateIssuer
111430OtherAZPIN
1144326562OtherAZGROUP NPI
1669416210OtherAZINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061103000417 AZ Part B Supplier - Clinic/Group Practice 4183621139 Receives reassigned benefits from 3 practitioners
Practice locations: Scottsdale, AZ
O20100930029305 AZ DME Supplier - Physician - Podiatry 4183621139 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7312 E Deer Valley Rd
Ste 110
Scottsdale, AZ 85255
Phone (480) 342-9999

Practitioners & affiliated clinicians

Practitioners 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1144326562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557459",
            "telephone_number": "480-342-9999",
            "fax_number": "480-342-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 E DEER VALLEY RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557459",
            "telephone_number": "480-342-9999",
            "fax_number": "480-342-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF ARIZONA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "DINUCCI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "480-342-9999",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "111430",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1144326562",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669416210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.