Active NPI
Rio Grande Foot & Ankle Specialists LLC
- Foot & Ankle Surgery Podiatrist
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- RIO GRANDE FOOT & ANKLE SPECIALISTS LLC
- Practice address
- 404 Brunn School Rd
Santa Fe, NM 87505-1102 - Phone
- (505) 395-9575
- Fax
- (877) 540-1253
- NPI assigned
- Aug 17, 2021
- Organization subpart
- Yes
- Parent organization
- RIO GRANDE FOOT & ANKLE SPECIALISTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Deithloff
- Title
- DPM
- Phone
- (801) 643-2921
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
404 Brunn School Rd
Santa Fe, NM 87505-1102
Mailing address
2561 S 1560 W Ste B
Woods Cross, UT 84087-2361
Phone (801) 505-0821
National Provider Directory
National Provider Directory- Part of
- Rio Grande Foot Ankle Specialists LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Taos, NM
- NPI 1750938478
Member Of
Locations
1475 Central Ave
Ste 150
Los Alamos, NM 87544
Phone (505) 662-2020
404 Brunn School Rd
Ste A
Santa Fe, NM 87505
Phone (505) 988-7568
2561 S 1560 W
Ste B
Woods Cross, UT 84087
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.
-
- Foot & Ankle Surgery Podiatrist
- Taos, NM
- NPI 1750938478
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Santa Fe, NM
- NPI 1588073290
-
- Podiatrist
- Santa Fe, NM
- NPI 1659791549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1285300673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 S 1560 W STE B",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872361",
"telephone_number": "801-505-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 BRUNN SCHOOL RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051102",
"telephone_number": "505-395-9575",
"fax_number": "877-540-1253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO GRANDE FOOT & ANKLE SPECIALISTS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIO GRANDE FOOT & ANKLE SPECIALISTS",
"enumeration_date": "2021-08-17",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "DEITHLOFF",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "801-643-2921"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.