NPIMap

Organization Active NPI

National Capital Foot and Ankle Center

  • Podiatric Clinic/Center
  • Washington, DC
National Provider Identifier
1346767191
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO428 Issued in DC
Legal business name
NATIONAL CAPITAL FOOT AND ANKLE CENTER
Practice address
5100 Wisconsin Ave NW Ste 522
Washington, DC 20016-4131
Phone
(202) 966-0900
Fax
(202) 966-0836
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Franklin R Polun, DPMNPI 1881697886
Title
Owner
Phone
(301) 529-1575

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X PO428 DC Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW Ste 522
Washington, DC 20016-4131

Mailing address

5100 Wisconsin Ave NW Ste 522
Washington, DC 20016-4131
Phone (202) 966-0900

Other identifiers 1

IdentifierTypeStateIssuer
52-2005459OtherMHTAX ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346767191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 522",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164131",
            "telephone_number": "202-966-0900",
            "fax_number": "202-966-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 522",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164131",
            "telephone_number": "202-966-0900",
            "fax_number": "202-966-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CAPITAL FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLUN",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-529-1575",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "DC",
            "license": "PO428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "52-2005459",
            "state": "MH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.