Active NPI
Edward V. Flake DPM PC
- Podiatrist
- Pinetop, AZ
National Provider Identifier
1235171000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 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
- Edward Flake
- Title
- Owner
- Phone
- (928) 367-3701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Podiatrist
- Pinetop, AZ
- NPI 1477541043
-
- Foot & Ankle Surgery Podiatrist
- Lakeside, AZ
- NPI 1952352619
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.