Hayden Family Foot and Ankle Clinic, PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

P-200 Issued in ID

Legal business name

HAYDEN FAMILY FOOT AND ANKLE CLINIC, PLLC

Practice address

8944 N Hess St
Suite a
Hayden, ID 83835-9183

Phone

(208) 762-0909

Fax

(888) 762-0909

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joel Daniel Hix, D.P.M.

Title

Owner

Phone

(509) 879-9029

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1285863183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8944 N HESS ST",
            "address_2": "SUITE A",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359183",
            "telephone_number": "208-762-0909",
            "fax_number": "888-762-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8944 N HESS ST",
            "address_2": "SUITE A",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359183",
            "telephone_number": "208-762-0909",
            "fax_number": "888-762-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN FAMILY FOOT AND ANKLE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "HIX",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-879-9029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "ID",
            "license": "P-200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8084226",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285863183",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hayden, ID
• Podiatric Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.