Bothell Foot & Ankle Clinic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOTHELL FOOT & ANKLE CLINIC PLLC

Practice address

18525 101St Ave NE Ste 3
Bothell, WA 98011-3452

Phone

(425) 806-1943

Fax

(425) 402-3900

NPI assigned

May 8, 2007

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shi-Yuan Cheng, DPMNPI 1790729283

Title

Owner

Phone

(425) 806-1943

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Shi-Yuan Cheng, DPM

  • Foot Surgery Podiatrist
  • Bothell, WA
  • NPI 1790729283
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1437362977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 101ST AVE NE STE 3",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113452",
            "telephone_number": "425-806-1943",
            "fax_number": "425-402-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 101ST AVE NE STE 3",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113452",
            "telephone_number": "425-806-1943",
            "fax_number": "425-402-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHELL FOOT & ANKLE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "SHI-YUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-806-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "8801780",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonney Lake Psychiatry LLC
• Bothell Chiropractic & Wellness, PLLC
• Bothell Dental Care
• Bothell Denture Clinic, Inc.
• Bothell Endodontics
• Bothell Integrated Health, Inc.
• Bothell Naturopathic Medical Clinic
• Bothell Pediatric & Hand Therapy
• Bothell Pediatric and Hand Therapy
• Bothell Pediatric and Hand Therapy

• Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.