Individual provider Active NPI

Christopher Jones, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Issaquah, WA
National Provider Identifier
1194165274
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60633813 Issued in WA
Practice address
175 1St PL NW Ste B
Issaquah, WA 98027-2746
Phone
(425) 780-7055
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL 1956 CA
Foot & Ankle Surgery Podiatrist 213ES0103X PO60633813 WA Primary

Addresses

Primary practice location

175 1St PL NW Ste B
Issaquah, WA 98027-2746

Mailing address

175 1St PL NW Ste B
Issaquah, WA 98027-2746
Phone (909) 215-3370

Other practice location 1

120 14th Ave SE
Suite B
Puyallup, WA 98372-3718
Phone (253) 845-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803001644 WA Practitioner - Podiatry 0244524965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 1St PL NW
Suite B
Issaquah, WA 98027-2746
Phone (425) 780-7055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue526
Removal or shaving of skin growth552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EL 1956CAMDFoot & Ankle Surgery Podiatrist
PO60633813WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Clinic Inc Foot & Ankle Surgery CurrentSince Jul 18, 2016 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC CurrentSince Apr 1, 2022 Accepting new patients
Eastside Medical Group, LLC Past Accepting new patients

Locations

205 15th Ave SW
Ste D
Puyallup, WA 98371
Phone (253) 200-2144

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

120 14th Ave SE
Ste B
Puyallup, WA 98372
Phone (253) 845-0564

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1194165274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272746",
            "telephone_number": "909-215-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272746",
            "telephone_number": "425-780-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 14th Ave SE",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723718",
            "country_code": "US",
            "telephone_number": "253-845-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL 1956",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60633813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.