Organization Active NPI

Emergency Footcare, PC

  • Podiatric Clinic/Center
  • Englewood, CO
National Provider Identifier
1437160587
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
POD660 Issued in CO
Legal business name
EMERGENCY FOOTCARE, PC
Practice address
601 E Hampden Ave Ste 410
Englewood, CO 80113-2770
Phone
(303) 789-9255
Fax
(303) 789-0135
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Clinton Fay Holland, DPMNPI 1184672081
Title
President
Phone
(303) 789-9255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X POD660 CO Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 410
Englewood, CO 80113-2770

Mailing address

601 E Hampden Ave
Suite 410
Englewood, CO 80113-3781
Phone (303) 789-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000108 CO Part B Supplier - Clinic/Group Practice 6507754439 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

601 E Hampden Ave
Ste 410
Englewood, CO 80113
Phone (303) 781-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1437160587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "address_2": "SUITE 410",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-789-9255",
            "fax_number": "303-789-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 410",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132770",
            "telephone_number": "303-789-9255",
            "fax_number": "303-789-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-789-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CO",
            "license": "POD660",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2008; 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.