Family Foot Clinic Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

PO 60188334 Issued in WA

Legal business name

FAMILY FOOT CLINIC INC

Practice address

120 14TH Ave SE
Suite B
Puyallup, WA 98372-3718

Phone

(253) 845-0564

Fax

(253) 770-8482

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Chad G Smith, DPMNPI 1427077114

Title

Owner

Phone

(253) 845-0564

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad G Smith, DPM

  • Foot Surgery Podiatrist
  • Puyallup, WA
  • NPI 1427077114
  Medicare reassignment Authorized official
• Christopher Jones, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Issaquah, WA
  • NPI 1194165274
  Medicare reassignment NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1295030971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "253-845-0564",
            "fax_number": "253-770-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "253-845-0564",
            "fax_number": "253-770-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-0564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WA",
            "license": "PO 60188334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1427077114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Ezell
• Lizbeth Fabian, RPH
• Jordan Marie Fahey, ACSM-CEP
• Kaara Fairbanks
• Family First Chiropractic
• Family Foot Health Center Inc.
• Jenny Fang
• Shannon S Farazi, D.M.D.
• Steve Roy Farley
• Jaclyn Farmer

• Podiatric Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Podiatric Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.