NPIMap

Organization Active NPI

Connecticut Foot Care Centers LLC

  • Podiatrist
  • Newington, CT
National Provider Identifier
1437698685
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
CT000092 Issued in CT
Legal business name
CONNECTICUT FOOT CARE CENTERS LLC
Practice address
505 Willard Ave
BLDG 2-D
Newington, CT 06111-2650
Phone
(860) 666-2078
Fax
(860) 665-8247
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Jeffrey Steven Kahn, D.P.M.
Title
Managing Partner
Phone
(860) 563-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X CT000092 CT Primary

Addresses

Primary practice location

505 Willard Ave
BLDG 2-D
Newington, CT 06111-2650

Mailing address

PO Box 37
Rocky Hill, CT 06067-0037
Phone (860) 563-1200

National Provider Directory

National Provider Directory

Locations

505 Willard Ave
Bldg 2D
Newington, CT 06111
Phone (860) 666-2078

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1437698685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670037",
            "telephone_number": "860-563-1200",
            "fax_number": "860-563-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "address_2": "BLDG 2-D",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-666-2078",
            "fax_number": "860-665-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FOOT CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-563-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "CT000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.