NPIMap

Organization Active NPI

Ocotillo Foot and Ankle Centers, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1356824759
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OCOTILLO FOOT AND ANKLE CENTERS, PLLC
Practice address
270 W Chandler Heights Rd Ste 5
Chandler, AZ 85248-5084
Phone
(480) 895-0276
Fax
(480) 895-6933
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Dr. Mary M Peters, DPMNPI 1568410371
Title
Ceo
Phone
(480) 895-0276

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
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

270 W Chandler Heights Rd Ste 5
Chandler, AZ 85248-5084

Mailing address

270 W Chandler Heights Rd Ste 5
Chandler, AZ 85248-5084
Phone (480) 895-0276

Other practice location 1

13838 S 46th Pl Ste 105
Phoenix, AZ 85044-7801
Phone (480) 895-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181204003104 AZ Part B Supplier - Clinic/Group Practice 9436493376 Receives reassigned benefits from 5 practitioners
Practice locations: Chandler, AZ
O20190918002943 AZ DME Supplier - Physician - Podiatry 9436493376 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1356824759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W CHANDLER HEIGHTS RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485084",
            "telephone_number": "480-895-0276",
            "fax_number": "480-895-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W CHANDLER HEIGHTS RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485084",
            "telephone_number": "480-895-0276",
            "fax_number": "480-895-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13838 S 46th Pl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850447801",
            "country_code": "US",
            "telephone_number": "480-895-0276",
            "fax_number": "480-895-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCOTILLO FOOT AND ANKLE CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-895-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.