Active NPI
Foot & Ankle Specialists of Arizona PLLC
- Foot & Ankle Surgery Podiatrist
- Phoenix, AZ
National Provider Identifier
1417668203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC
- Practice address
- 926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500 - Phone
- (623) 544-9090
- Fax
- (623) 546-3704
- NPI assigned
- Dec 12, 2022
- Last updated
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seth Clark, DPM
- Title
- Authorized Official
- Phone
- (623) 544-9090
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
926 E McDowell Rd Ste 121
Phoenix, AZ 85006-2500
Mailing address
18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045
Phone (623) 544-9090
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Podiatrist
- Phoenix, AZ
- NPI 1669811915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1417668203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE STE F168",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086045",
"telephone_number": "623-544-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E MCDOWELL RD STE 121",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062500",
"telephone_number": "623-544-9090",
"fax_number": "623-546-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE SPECIALISTS OF ARIZONA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "SETH",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "623-544-9090",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.