Plateau Foot and Ankle Clinic PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PLATEAU FOOT AND ANKLE CLINIC PLLC

Practice address

466 228TH Ave NE
Sammamish, WA 98074-7209

Phone

(425) 868-3338

NPI assigned

Mar 18, 2019

Last updated

Jan 23, 2023By 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

Dr. Khanh Le, DPMNPI 1902280431

Title

Member

Phone

(425) 868-3338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Khanh Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sammamish, WA
  • NPI 1902280431

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1265991350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "425-868-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "425-868-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU FOOT AND ANKLE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-01-23",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-868-3338",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Foot & Ankle Surgery Podiatrist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.