NPIMap

Organization Active NPI

Cook Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Brigham City, UT
National Provider Identifier
1326322694
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
72759630501 Issued in UT
Legal business name
COOK FOOT & ANKLE SPECIALISTS
Practice address
990 Medical Dr
#U3
Brigham City, UT 84302-4713
Phone
(435) 734-9623
Fax
(435) 752-7159
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Gregory Cook
Title
Office Manager
Phone
(435) 734-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 72759630501 UT Primary

Addresses

Primary practice location

990 Medical Dr
#U3
Brigham City, UT 84302-4713

Mailing address

550 E 1400 N
#B
Logan, UT 84341-2406
Phone (435) 752-9011

Other identifiers 1

IdentifierTypeStateIssuer
52874126705MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Cook Foot and Ankle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1326322694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "#B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "#U3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-9623",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-734-9623"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "72759630501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52874126705",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.