Active NPI
Steven R Vetter, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Fairfax, VA
National Provider Identifier
1295702108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0130000659
- Practice address
- 10721 Main St
Suite 3500
Fairfax, VA 22030-6914 - Phone
- (703) 352-8888
- Fax
- (703) 352-8994
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0130000659 | VA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0130000659 | VA | |
| Sports Medicine Podiatrist | 213ES0000X | 0130000659 | VA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0130000659 | VA | Primary |
Addresses
Primary practice location
10721 Main St
Suite 3500
Fairfax, VA 22030-6914
Mailing address
10721 Main St
Suite 3500
Fairfax, VA 22030-6914
Phone (703) 352-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0130000659 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakton Foot and Ankle Center PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
10721 Main St
Ste 3500
Fairfax, VA 22030
Phone (703) 352-8888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1295702108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "SUITE 3500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-352-8888",
"fax_number": "703-352-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "SUITE 3500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-352-8888",
"fax_number": "703-352-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETTER",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0130000659",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "VA",
"license": "0130000659",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "VA",
"license": "0130000659",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0130000659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.