Organization Active NPI

Wasatch Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Orem, UT
National Provider Identifier
1356746168
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
9008591-0501 Issued in UT
Legal business name
WASATCH FOOT AND ANKLE SPECIALISTS LLC
Practice address
700 W 800 N
Ste 330
Orem, UT 84057-6301
Phone
(801) 426-3686
Fax
(801) 426-3689
NPI assigned
Oct 23, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WASATCH FOOT AND ANKLE SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Brandon Frederic Jones
Title
Owner
Phone
(801) 505-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 9008591-0501 UT Primary

Addresses

Primary practice location

700 W 800 N
Ste 330
Orem, UT 84057-6301

Mailing address

700 W 800 N
Ste 330
Orem, UT 84057-6301
Phone (801) 426-3686

National Provider Directory

National Provider Directory
Part of
Wasatch Foot and Ankle Specialists LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1356746168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 800 N",
            "address_2": "STE 330",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576301",
            "telephone_number": "801-426-3686",
            "fax_number": "801-426-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N",
            "address_2": "STE 330",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576301",
            "telephone_number": "801-426-3686",
            "fax_number": "801-426-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASATCH FOOT AND ANKLE SPECIALISTS LLC",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-505-0820"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "9008591-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.