NPIMap

Organization Active NPI

Godfrey V. Viegas DPM, Foot and Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
National Provider Identifier
1275770844
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-004459 Issued in IL
Legal business name
GODFREY V. VIEGAS DPM, FOOT AND ANKLE CENTER, INC.
Practice address
280 Memorial CT
Suite C
Crystal Lake, IL 60014-6233
Phone
(815) 356-0500
Fax
(815) 356-0539
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Godfrey Viegas, DPM
Title
Owner/Doctor
Phone
(815) 356-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016-004459 IL Primary

Addresses

Primary practice location

280 Memorial CT
Suite C
Crystal Lake, IL 60014-6233

Mailing address

280 Memorial CT
Suite C
Crystal Lake, IL 60014-6233
Phone (815) 356-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1275770844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MEMORIAL CT",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146233",
            "telephone_number": "815-356-0500",
            "fax_number": "815-356-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MEMORIAL CT",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146233",
            "telephone_number": "815-356-0500",
            "fax_number": "815-356-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODFREY V. VIEGAS DPM, FOOT AND ANKLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "VIEGAS",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "815-356-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.