Organization Active NPI

Colorado Foot and Ankle Clinic PC

  • Podiatrist
  • Denver, CO
National Provider Identifier
1295748895
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
605 Issued in CO
Legal business name
COLORADO FOOT AND ANKLE CLINIC PC
Practice address
950 E Harvard Ave
Suite 100
Denver, CO 80210-7007
Phone
(303) 777-8767
Fax
(303) 996-1336
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Kenneth P Morgan, DPMNPI 1134132731
Title
Owner
Phone
(303) 777-8767

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 605 CO Primary

Addresses

Primary practice location

950 E Harvard Ave
Suite 100
Denver, CO 80210-7007

Mailing address

950 E Harvard Ave
Suite 100
Denver, CO 80210-7007
Phone (303) 777-8767

Other identifiers 1

IdentifierTypeStateIssuer
55357253MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000787 CO Part B Supplier - Clinic/Group Practice 9335037258 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20120209000781 CO DME Supplier - Physician - Podiatry 9335037258 Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

950 E Harvard Ave
Ste 100
Denver, CO 80210
Phone (303) 777-8767

2535 S Downing St
Ste 150
Denver, CO 80210
Phone (303) 777-2994

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1295748895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107007",
            "telephone_number": "303-777-8767",
            "fax_number": "303-996-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107007",
            "telephone_number": "303-777-8767",
            "fax_number": "303-996-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-777-8767",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55357253",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.