Organization Active NPI

Podiatric Care of Northern Virginia, PC

  • Foot Surgery Podiatrist
  • Leesburg, VA
National Provider Identifier
1144360058
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
PODIATRIC CARE OF NORTHERN VIRGINIA, PC
Practice address
821 S King St Ste I
Leesburg, VA 20175-3922
Phone
(703) 727-3689
NPI assigned
Feb 8, 2007
Last updated
Jan 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Mrs. Iris Kander
Title
Credentialing Coordinator
Phone
(703) 727-3689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

821 S King St Ste I
Leesburg, VA 20175-3922

Mailing address

PO Box 234
Waterford, VA 20197-0234
Phone (703) 727-3689

National Provider Directory

National Provider Directory

Locations

821 S King St
Ste I
Leesburg, VA 20175
Phone (703) 722-1500

705 Mobjack Pl
Ste B
Newport News, VA 23606
Phone (307) 683-7627

Practitioners & affiliated clinicians

Practitioners 2

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1144360058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "WATERFORD",
            "state": "VA",
            "postal_code": "201970234",
            "telephone_number": "703-727-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S KING ST STE I",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753922",
            "telephone_number": "703-727-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC CARE OF NORTHERN VIRGINIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "KANDER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "703-727-3689",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.