NPIMap

Organization Active NPI

Desert Foot & Ankle P C

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1437987237
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DESERT FOOT & ANKLE P C
Practice address
15601 N 28TH Ave Ste 102
Phoenix, AZ 85053-4061
Phone
(480) 844-8218
Fax
(480) 844-9950
NPI assigned
Jul 23, 2024
Organization subpart
Yes
Parent organization
DESERT FOOT & ANKLE P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Alexander Reyzelman, DPM
Title
Rcmo
Phone
(415) 292-0638

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

15601 N 28TH Ave Ste 102
Phoenix, AZ 85053-4061

Mailing address

PO Box 32611
Belfast, ME 04915-0219
Phone (415) 645-4525

National Provider Directory

National Provider Directory
Tax ID family
Desert Foot and Ankle PC4 organizations share this tax ID, including this one
Part of
Desert Foot and Ankle PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1437987237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32611",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150219",
            "telephone_number": "415-645-4525",
            "fax_number": "510-399-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 N 28TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534061",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FOOT & ANKLE P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FOOT & ANKLE P C",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "RCMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.