Organization Active NPI

Denver Foot & Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Englewood, CO
National Provider Identifier
1396726345
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DENVER FOOT & ANKLE CLINIC PC
Practice address
401 W Hampden PL
#260
Englewood, CO 80110-2470
Phone
(303) 761-5454
Fax
(303) 339-2525
NPI assigned
Nov 8, 2005
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
George S Gill, DPMNPI 1255322988
Title
DPM
Phone
(303) 761-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

401 W Hampden PL
#260
Englewood, CO 80110-2470

Mailing address

401 W Hampden PL
#260
Englewood, CO 80110-2470
Phone (303) 761-5454

Other identifiers 1

IdentifierTypeStateIssuer
04754040MedicaidCO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
#455
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1396726345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL",
            "address_2": "#260",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102470",
            "telephone_number": "303-761-5454",
            "fax_number": "303-339-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL",
            "address_2": "#260",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102470",
            "telephone_number": "303-761-5454",
            "fax_number": "303-339-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "303-761-5454",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04754040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.