Organization Active NPI

Sole Care Mobile Podiatry, PLLC

  • Podiatric Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1225588783
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
0829 Issued in AZ
Legal business name
SOLE CARE MOBILE PODIATRY, PLLC
Practice address
16427 N Scottsdale Rd Ste 434
Scottsdale, AZ 85254-7103
Phone
(480) 247-6494
Fax
(480) 247-6643
NPI assigned
Oct 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Rachel Anne Janowicz, DPM
Title
Owner/Podiatrist
Phone
(503) 869-2971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Podiatric Clinic/Center 261QP1100X 0829 AZ Primary

Addresses

Primary practice location

16427 N Scottsdale Rd Ste 434
Scottsdale, AZ 85254-7103

Mailing address

11475 E Helm Dr
Scottsdale, AZ 85255-1887
Phone (480) 247-6494

Other identifiers 1

IdentifierTypeStateIssuer
219991MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1930 S Alma School Rd
Ste D201
Mesa, AZ 85210
Phone (480) 247-6494

16427 N Scottsdale Rd
Ste 434
Scottsdale, AZ 85254
Phone (480) 247-6494

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1225588783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 E HELM DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551887",
            "telephone_number": "480-247-6494",
            "fax_number": "480-247-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16427 N SCOTTSDALE RD STE 434",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547103",
            "telephone_number": "480-247-6494",
            "fax_number": "480-247-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE CARE MOBILE PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "JANOWICZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "503-869-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AZ",
            "license": "0829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219991",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.