Organization Active NPI

Edward V. Flake DPM PC

  • Podiatrist
  • Pinetop, AZ
National Provider Identifier
1235171000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EDWARD V. FLAKE DPM PC
Practice address
728 E White Mountain Blvd
Suite 3C
Pinetop, AZ 85935-7027
Phone
(928) 367-3701
Fax
(928) 367-0801
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward Flake
Title
Owner
Phone
(928) 367-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

728 E White Mountain Blvd
Suite 3C
Pinetop, AZ 85935-7027

Mailing address

PO Box 430D
Pinetop, AZ 85935-0416
Phone (928) 367-3701

National Provider Directory

National Provider Directory

Locations

728 E White Mountain Blvd
#3C
Pinetop, AZ 85935
Phone (928) 367-3701

728 E White Mountain Blvd
Ste 3C
Pinetop, AZ 85935
Phone (928) 367-3701

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235171000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430D",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859350416",
            "telephone_number": "928-367-3701",
            "fax_number": "928-367-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E WHITE MOUNTAIN BLVD",
            "address_2": "SUITE 3C",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357027",
            "telephone_number": "928-367-3701",
            "fax_number": "928-367-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD V. FLAKE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLAKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-3701"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

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.

Verify at the official NPI Registry.