Organization Active NPI

United Foot and Ankle LLC

Doing business as Wiles Foot and Ankle LLC

  • Podiatrist
  • Chattanooga, TN
National Provider Identifier
1154965051
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
UNITED FOOT AND ANKLE LLC
Doing business as
Wiles Foot and Ankle LLC
Practice address
5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215
Phone
(423) 760-3668
NPI assigned
Nov 4, 2019
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Michael Todd Wiles, DPMNPI 1598853970
Title
Physician
Phone
(423) 760-3668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215

Mailing address

5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215
Phone (423) 760-3668

Other names 1

  • Wiles Foot and Ankle LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drwiles@UFaA-TN.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200330003599 TN Part B Supplier - Clinic/Group Practice 1951730761 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN
O20200707000236 TN DME Supplier - Physician - Podiatry 1951730761 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

5959 Shallowford Rd
Ste 213
Chattanooga, TN 37421
Phone (314) 872-1371

Interoperability endpoints

  • Direct secure messaging: drwiles@ufaa-tn.direct.office.nextgen.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1154965051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 213",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212215",
            "telephone_number": "423-760-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 213",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212215",
            "telephone_number": "423-760-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-760-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwiles@UFaA-TN.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Nextgen endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5959 Shallowford Rd Ste 213",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374212215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wiles Foot and Ankle LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.