NPIMap

Organization Active NPI

Reconstructive Foot & Ankle Institute, LLC

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1356633754
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC
Practice address
2100 Old Farm Dr
Suite D
Frederick, MD 21702-9494
Phone
(301) 418-6014
Fax
(301) 797-9228
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Daniel Dale Michaels, DPM, MSNPI 1073615373
Title
Member
Phone
(301) 797-8554

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 Primary

Addresses

Primary practice location

2100 Old Farm Dr
Suite D
Frederick, MD 21702-9494

Mailing address

PO Box 269
Frederick, MD 21705-0269
Phone (301) 797-8554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1356633754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217050269",
            "telephone_number": "301-797-8554",
            "fax_number": "301-797-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OLD FARM DR",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029494",
            "telephone_number": "301-418-6014",
            "fax_number": "301-797-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-797-8554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MS"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.