Active NPI
Blanken Foot and Ankle LLC
- Foot & Ankle Surgery Podiatrist
- Silver Spring, MD
National Provider Identifier
1285414466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BLANKEN FOOT AND ANKLE LLC
- Practice address
- 10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006 - Phone
- (301) 592-0505
- Fax
- (301) 592-0503
- NPI assigned
- Oct 4, 2023
- Last updated
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Banthom Jeter
- Title
- Office Manager
- Phone
- (301) 592-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006
Mailing address
10313 Georgia Ave Ste 201
Silver Spring, MD 20902-5006
Phone (301) 592-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Blanken Foot and Ankle LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Silver Spring, MD
- NPI 1497521603
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": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1285414466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10313 GEORGIA AVE STE 201",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025006",
"telephone_number": "301-592-0505",
"fax_number": "301-592-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10313 GEORGIA AVE STE 201",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025006",
"telephone_number": "301-592-0505",
"fax_number": "301-592-0503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLANKEN FOOT AND ANKLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "JETER",
"authorized_official_first_name": "BANTHOM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-592-0505"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.