Boulder County Foot & Ankle, PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

BOULDER COUNTY FOOT & ANKLE, PC

Practice address

2575 Pearl St
#240
Boulder, CO 80302-3851

Phone

(303) 449-2910

Fax

(303) 449-2931

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Stuart Jachimiak, DPMNPI 1043227390

Title

Owner

Phone

(303) 442-2910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Neuropathy Center of Boulder County, LLC

  • Podiatrist
  • Louisville, CO
  • NPI 1205368552
  NPPES parent name

Practitioners 3

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

• John S Jachimiak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boulder, CO
  • NPI 1043227390
  Medicare reassignment Care Compare group Authorized official
• Leann Alland, DPM

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
  • NPI 1144956913
  Medicare reassignment Care Compare group NPD
• Janae Ross, PA C

  • Physician Assistant
  • Boulder, CO
  • NPI 1093918377
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1255574182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST",
            "address_2": "#240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023851",
            "telephone_number": "303-449-2910",
            "fax_number": "303-442-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST",
            "address_2": "#240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023851",
            "telephone_number": "303-449-2910",
            "fax_number": "303-449-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COUNTY FOOT & ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "JACHIMIAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-442-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57284377",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Community Musculoskeletal Surgery Center, LLC
• Boulder County Colorado
• Boulder County Colorado
• Boulder County Colorado
• Boulder County Enterprises Inc
• Boulder County Mental Health
• Boulder County Public Health
• Boulder County Public Health
• Boulder County Public Health
• Boulder Dental Center Arapahoe,P.C

• Podiatric Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Podiatric Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.