Tooele Foot & Ankle Clinic, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

103966-0501 Issued in NU

Legal business name

TOOELE FOOT & ANKLE CLINIC, INC.

Practice address

2356 N 400 E
Ste 104
Tooele, UT 84074-3409

Phone

(435) 882-0711

Fax

(435) 882-1778

NPI assigned

Feb 13, 2008

Last updated

Sep 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Albert Halladay, D.P.M.NPI 1902809528

Title

President

Phone

(435) 882-0711

Specialties & licenses 1

Addresses

Other names 1

• Tooele Foot Clinic Former legal business name

Locations

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.

• Kim A. Halladay, D.P.M.

  • Podiatrist
  • Tooele, UT
  • NPI 1902809528
  Authorized official Same address or phone

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1255509154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 104",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-882-0711",
            "fax_number": "435-882-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 104",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-882-0711",
            "fax_number": "435-882-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE FOOT & ANKLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "HALLADAY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-882-0711",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": "103966-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooele Foot Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tooele County Health Dept
• Tooele County School District
• Tooele County School District
• Tooele Dental Office, LLC (Oquirrah Hills Dental)
• Tooele Family Chiropractic, Inc.
• Tooele Hearts at Home
• Tooele Home Care Services LLC (Mountain West Home Health)
• Tooele Home Care Services LLC (Mountain West Hospice)
• Tooele Hospital Corporation (Mountain West PT)
• Tooele Hospital Corporation (Mountain West Medical Center)

• Foot & Ankle Surgery Podiatrist in Tooele, UT
• Providers in Tooele, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.