NPIMap

Organization Active NPI

Batavia Podiatry Associates LLC

Doing business as Batavia Foot Care Center

  • Podiatrist
  • Batavia, NY
National Provider Identifier
1275564882
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BATAVIA PODIATRY ASSOCIATES LLC
Doing business as
Batavia Foot Care Center
Practice address
3922 W Main Street Rd
Batavia, NY 14020-9467
Phone
(585) 344-1677
Fax
(585) 344-2105
NPI assigned
Jul 5, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BATAVIA PODIATRY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Dawn K Dryden, DPMNPI 1477576585
Title
Managing Partner
Phone
(585) 344-1677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

3922 W Main Street Rd
Batavia, NY 14020-9467

Mailing address

3922 W Main Street Rd
Batavia, NY 14020-9467
Phone (585) 344-1677

Other names 1

  • Batavia Foot Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100722000228 NY Part B Supplier - Clinic/Group Practice 9739211012 Receives reassigned benefits from 3 practitioners
Practice locations: Batavia, NY
O20100930087072 NY DME Supplier - Physician - Podiatry 9739211012 Practice locations: Batavia, NY

National Provider Directory

National Provider Directory
Tax ID family
Batavia Podiatry Associates2 organizations share this tax ID, including this one
Part of
Batavia Podiatry Associates

Other organizations with this tax ID 1

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

Locations

3922 W Main Street Rd
Batavia, NY 14020
Phone (585) 344-1677

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1275564882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 W MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209467",
            "telephone_number": "585-344-1677",
            "fax_number": "585-344-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 W MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209467",
            "telephone_number": "585-344-1677",
            "fax_number": "585-344-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATAVIA PODIATRY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BATAVIA PODIATRY ASSOCIATES LLC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "DRYDEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "585-344-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Batavia Foot Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.