Individual provider Active NPI

Ashley Irene Vanderloop, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Durango, CO
National Provider Identifier
1235422924
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
819 Issued in CO
Practice address
575 Rivergate Unit 105
Durango, CO 81301
Phone
(970) 259-3154
Fax
(970) 828-1666
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 12-00382 KS
Foot & Ankle Surgery Podiatrist 213ES0103X 819 CO Primary

Addresses

Primary practice location

575 Rivergate Unit 105
Durango, CO 81301

Mailing address

835 E Lamar Blvd
#281
Arlington, TX 76011-3504
Phone (810) 869-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
819COMDFoot & Ankle Surgery Podiatrist
12-00382KSMDFoot & Ankle Surgery Podiatrist
2110TXMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1235422924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E LAMAR BLVD",
            "address_2": "#281",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113504",
            "telephone_number": "810-869-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE UNIT 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-259-3154",
            "fax_number": "970-828-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOOP",
        "first_name": "ASHLEY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "12-00382",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.