Advanced Podiatric Specialty Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

0547 Issued in AZ

Legal business name

ADVANCED PODIATRIC SPECIALTY INC

Practice address

6677 W Thunderbird Rd
J171/172
Glendale, AZ 85306-3709

Phone

(623) 977-6245

Fax

(623) 977-6280

NPI assigned

Sep 8, 2006

Last updated

Jun 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh P Daulat, DPMNPI 1467567883

Title

President

Phone

(623) 977-6245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Rajesh Praful Daulat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1467567883

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1295839512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 N 71ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824951",
            "telephone_number": "623-977-6245",
            "fax_number": "623-977-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "J171/172",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-977-6245",
            "fax_number": "623-977-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRIC SPECIALTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-977-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AZ",
            "license": "0547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Podiatric Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.