Kinetic Foot and Ankle Clinic LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KINETIC FOOT AND ANKLE CLINIC LLC

Practice address

2373 Central Park Blvd Unit 202
Denver, CO 80238-2300

Phone

(720) 295-4864

Fax

(855) 805-9391

NPI assigned

May 29, 2025

Organization subpart

Yes

Parent organization

KINETIC FOOT AND ANKLE CLINIC LLCAs reported in NPPES

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

Authorized official

Name

Marc R House, DPMNPI 1629038849

Title

Owner

Phone

(720) 295-4864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kinetic Foot and Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1962999581

  4183970486

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kinetic Foot and Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1962999581

  O20180628001613

  Same enrollment

Tax ID family

Kinetic Foot and Ankle Clinic LLC2 organizations share this tax ID, including this one

Part of

Kinetic Foot and Ankle Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kinetic Foot and Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1962999581
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kinetic Foot and Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1962999581
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc R House, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1629038849
  NPD Authorized official
• Mary Katelyn Lanoue

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1174272827
  NPD
• Josephine P Lyons, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenwood Village, CO
  • NPI 1205356235
  NPD

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1245123389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 106",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "720-295-4864",
            "fax_number": "855-805-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "720-295-4864",
            "fax_number": "855-805-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINETIC FOOT AND ANKLE CLINIC LLC",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-295-4864",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindred Hospitals West, LLC
• Kindred Hospitals West, LLC
• Jasmine Michele Kindred
• Hayden Kindschi, RBT
• Nicole Melynn Kindt, MS
• Kinetic Mind LLC
• King Soopers
• Abigail King
• Ann Marie King, FNP
• Ashley King, PT, DPT

• Foot & Ankle Surgery Podiatrist in Denver, CO
• Providers in Denver, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.