Organization Active NPI

Robert M Smith DPM P C

Doing business as Colorado Foot & Ankle Clinic

  • Podiatrist
  • Longmont, CO
National Provider Identifier
1427340009
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
657 Issued in CO
Legal business name
ROBERT M SMITH DPM P C
Doing business as
Colorado Foot & Ankle Clinic
Practice address
2030 Mountain View Ave
Suite 300
Longmont, CO 80501-3178
Phone
(303) 974-7474
Fax
(303) 997-1085
NPI assigned
May 13, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Robert M Smith, DPMNPI 1083639173
Title
President
Phone
(303) 974-7474

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 657 CO Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

2030 Mountain View Ave
Suite 300
Longmont, CO 80501-3178

Mailing address

14391 W 2ND PL
Golden, CO 80401-5210
Phone (303) 974-7474

Other names 1

  • Colorado Foot & Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110803000856 CO Part B Supplier - Clinic/Group Practice 3173792355 Receives reassigned benefits from 1 practitioner
Practice locations: Golden, CO; Longmont, CO
O20120119000436 CO DME Supplier - Physician - Podiatry 3173792355 Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

2030 Mountain View Ave
Ste 300
Longmont, CO 80501
Phone (720) 652-8650

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": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1427340009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 W 2ND PL",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015210",
            "telephone_number": "303-974-7474",
            "fax_number": "303-997-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-974-7474",
            "fax_number": "303-997-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M SMITH DPM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-974-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "657",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.