Organization Active NPI

Bigfoot Podiatry, PLLC

  • Podiatrist
  • Silverdale, WA
National Provider Identifier
1407426497
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BIGFOOT PODIATRY, PLLC
Practice address
9927 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-7861
Phone
(360) 616-9563
Fax
(360) 850-1423
NPI assigned
Jun 30, 2021
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Dr. Ali Cross, DPMNPI 1952755159
Title
Co-Owner
Phone
(360) 990-0716

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
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

9927 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-7861

Mailing address

9927 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-7861
Phone (360) 616-9563

Other practice location 1

4700 Illahee Rd NE
Bremerton, WA 98311-8312
Phone (360) 990-0716

Other identifiers 1

IdentifierTypeStateIssuer
2181052MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL support@bigfootpodiatrypllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210812001974 WA Part B Supplier - Clinic/Group Practice 4880098839 Receives reassigned benefits from 2 practitioners
Practice locations: Bremerton, WA; Silverdale, WA
O20240514002857 WA DME Supplier - Physician - Podiatry 4880098839 Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1407426497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-616-9563",
            "fax_number": "360-850-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-616-9563",
            "fax_number": "360-850-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Illahee Rd NE",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983118312",
            "country_code": "US",
            "telephone_number": "360-990-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIGFOOT PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-990-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181052",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "support@bigfootpodiatrypllc.com",
            "affiliation": "N",
            "address_1": "9927 Mickelberry Rd NW Ste 101",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.