Organization Active NPI

Foot and Ankle Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Burien, WA
National Provider Identifier
1154371391
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE SPECIALISTS, PLLC
Practice address
17820 1St Ave S
Suite 101
Burien, WA 98148-1794
Phone
(206) 248-3668
Fax
(206) 244-2499
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Daniel E Greenan, DPM
Title
MBR/ Owner
Phone
(206) 248-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

17820 1St Ave S
Suite 101
Burien, WA 98148-1794

Mailing address

17820 1St Ave S
Suite 101
Burien, WA 98148-1794
Phone (206) 592-5000

Other identifiers 3

IdentifierTypeStateIssuer
5823620001OtherWADME SUPPLIER NUMBER
7132327MedicaidWA
DE6917OtherWARR MEDICARE

National Provider Directory

National Provider Directory

Locations

17820 1st Ave S
Ste 101
Burien, WA 98148
Phone (206) 244-1162

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1154371391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481794",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481794",
            "telephone_number": "206-248-3668",
            "fax_number": "206-244-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "GREENAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MBR/ OWNER",
        "authorized_official_telephone_number": "206-248-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER NUMBER",
            "identifier": "5823620001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132327",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE6917",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.