CC Foot Clinic PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CC FOOT CLINIC PC

Practice address

3601 S Clarkson St Ste 330
Englewood, CO 80113-3945

Phone

(720) 531-4080

Fax

(720) 310-2162

NPI assigned

Sep 3, 2025

Organization subpart

Yes

Parent organization

CC FOOT CLINIC PCAs reported in NPPES

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

Authorized official

Name

Florin Costache, DPMNPI 1376621631

Title

Owner

Phone

(303) 355-1695

Specialties & licenses 1

Addresses

Other names 2

• CHERRY CREEK FOOT & ANKLE CLINIC Doing business as
• Pro Active Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• CC Foot Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
  • NPI 1538338884

  O20131031000151

  Same enrollment
• CC Foot Clinic PC

  • Podiatric Clinic/Center
  • Denver, CO
  • NPI 1841838943

  O20131031000151

  Same enrollment

Part of

CC Foot Clinic PC

Locations

Practitioners 2

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

• Florin Costache, DPM

  • Podiatrist
  • Aurora, CO
  • NPI 1376621631
  NPD Authorized official
• Kevin Matthew Derickson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
  • NPI 1396748497
  NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1336029198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-355-1695",
            "fax_number": "303-355-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 330",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "720-531-4080",
            "fax_number": "720-310-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S Oneida St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802242551",
            "country_code": "US",
            "telephone_number": "303-355-1695",
            "fax_number": "303-355-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CC FOOT CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CC FOOT CLINIC PC",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "COSTACHE",
        "authorized_official_first_name": "FLORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-355-1695",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY CREEK FOOT & ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pro Active Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities and Community Services of the Archdiocese of Denver
• Catholic Health Initiatives Colorado
• Londyn Brooke Caton, PHARMD
• Amy Cavanaugh, MOT
• Cbsi Neuroanesthesia LLC
• Cccric LLC
• CCJK, PLLC
• Centennial Chiropractic Clinic Professional Corporation
• Center for Autism and Related Disorders LLC
• Center for Embodiment, LLC

• Podiatric Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Podiatric Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.