Northern Colorado Foot and Ankle Clinics Professional LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD.0000803 Issued in CO

Legal business name

NORTHERN COLORADO FOOT AND ANKLE CLINICS PROFESSIONAL LLC

Practice address

12201 Pecos St Ste 400
Westminster, CO 80234-3994

Phone

(303) 469-9292

Fax

(303) 438-8951

NPI assigned

Nov 6, 2017

Last updated

Dec 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Blake Hines, DPMNPI 1467893131

Title

Podiatrist/Owner

Phone

(417) 389-2203

Specialties & licenses 1

Addresses

Locations

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.

• Blake Hines, DPM

  • Foot & Ankle Surgery Podiatrist
  • Westminster, CO
  • NPI 1467893131
  Authorized official Same address or phone

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1184137762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 ABBEY RD UNIT 713",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806208623",
            "telephone_number": "417-389-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 PECOS ST STE 400",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343994",
            "telephone_number": "303-469-9292",
            "fax_number": "303-438-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO FOOT AND ANKLE CLINICS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "417-389-2203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Westminster, CO
• Providers in Westminster, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.