Dat FS2 Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

20085770 Issued in AZ

Legal business name

DAT FS2 INC

Doing business as

Foot Solutions Litchfield Park

Practice address

6359 W Redfield Rd
Glendale, AZ 85306-3765

Phone

(623) 776-0430

Fax

(623) 776-0643

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tomm O Kleyensteuber

Title

Owner

Phone

(623) 628-1001

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Litchfield Park Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1427275619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6359 W REDFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063765",
            "telephone_number": "623-776-0430",
            "fax_number": "623-776-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6359 W REDFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063765",
            "telephone_number": "623-776-0430",
            "fax_number": "623-776-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT FS2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KLEYENSTEUBER",
        "authorized_official_first_name": "TOMM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-628-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "20085770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions Litchfield Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darian DDS & Associates PLLC (Winning Smiles)
• Ghasem K Darian, D.D.S.
• Dariene Lazore, PLLC
• Alycia Nichol Darlington, BA
• Denise Darre
• Cherylynn E Dauch, RBT
• Rajesh Praful Daulat, DPM
• Mary Theresa Davey, LP.N
• David Bliklen, M.D., P.C.
• David C. Seeley, MD PC

• Customized Equipment (DME) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.