Sweet Feet Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SWEET FEET PODIATRY, LLC

Practice address

7376 McLaughlin Rd Ste G
Peyton, CO 80831-4719

Phone

(515) 710-4213

Fax

(719) 434-9729

NPI assigned

Mar 18, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy W Crislip, DPMNPI 1972737781

Title

Owner

Phone

(515) 710-4213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy W Crislip, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peyton, CO
  • NPI 1972737781
  Authorized official Same address or phone

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1366028680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 MCLAUGHLIN RD STE G",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314719",
            "telephone_number": "515-710-4213",
            "fax_number": "719-434-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 MCLAUGHLIN RD STE G",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314719",
            "telephone_number": "515-710-4213",
            "fax_number": "719-434-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET FEET PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-09-06",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "CRISLIP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-710-4213",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Peyton, CO
• Providers in Peyton, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.