Active NPI
Mountain Valley Foot Clinic Inc
- Podiatrist
- Riverton, WY
National Provider Identifier
1235157173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 112
- Legal business name
- MOUNTAIN VALLEY FOOT CLINIC INC
- Practice address
- 904 West Sunset Dr
Riverton, WY 82501 - Phone
- (307) 856-1223
- Fax
- (307) 857-0488
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sylvia J Trotter, DPM
- Title
- Podiatrist Owner
- Phone
- (307) 856-1223
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 112 | WY | Primary |
Addresses
Primary practice location
904 West Sunset Dr
Riverton, WY 82501
Mailing address
PO Box 6009
Riverton, WY 82501
Phone (307) 856-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311535 | Other | WY | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Hot Springs, SD
- NPI 1215955158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235157173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6009",
"city": "RIVERTON",
"state": "WY",
"postal_code": "82501",
"telephone_number": "307-856-1223",
"fax_number": "307-857-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 WEST SUNSET DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "82501",
"telephone_number": "307-856-1223",
"fax_number": "307-857-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VALLEY FOOT CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TROTTER",
"authorized_official_first_name": "SYLVIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PODIATRIST OWNER",
"authorized_official_telephone_number": "307-856-1223",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WY",
"license": "112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "311535",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.