Mark R Elkins DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

13128 Issued in UT

Legal business name

MARK R ELKINS DPM PC

Practice address

4019 W 12600 S
Suite 120
Riverton, UT 84096-7302

Phone

(801) 253-6886

Fax

(801) 253-6888

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mark R Elkins

Title

President

Phone

(801) 253-6886

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1386645398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W 12600 S",
            "address_2": "SUITE 120",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W 12600 S",
            "address_2": "SUITE 120",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R ELKINS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-253-6886"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "13128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "5346948-0501",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5346948-8907",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Madsen-Owen
• Kennan James Madsen
• Kaitlin Magnusson
• Mandana Mahdi, D.D.S
• Sydney Marino, LMFT
• Emily Anne Martin, CMHC
• Kelsey Martin
• Sarah Martin
• Michael Drew Martinez
• Christina Maruyama, NP

• Podiatrist in Riverton, UT
• Providers in Riverton, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.