Rio Grande Foot Clinic Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

NM142 Issued in NM

Legal business name

RIO GRANDE FOOT CLINIC INC

Practice address

710 S Alameda Blvd
Las Cruces, NM 88005-2928

Phone

(575) 523-8566

Fax

(575) 525-2065

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L Deetz, D.P.M.

Title

Owner

Phone

(575) 523-8566

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1225194608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052928",
            "telephone_number": "575-523-8566",
            "fax_number": "575-525-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052928",
            "telephone_number": "575-523-8566",
            "fax_number": "575-525-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DEETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-523-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "NM142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54072",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM035303",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Rico
• Lynn E Riggs
• Kacey Kay Rikard
• Bonnie Lynn Rinkels, RDH
• Rio Grande Emergency Medicine PA
• Rio Grande Hearing Center
• Rio Grande Hematology and Oncology, LLC
• Rio Grande Medical Group
• Rio Grande Medical Group, LTD
• Rio Grande Medical, LTD

• Foot & Ankle Surgery Podiatrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Foot & Ankle Surgery Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.