Absolute Foot Care Specialists, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0110 Issued in NV

Legal business name

ABSOLUTE FOOT CARE SPECIALISTS, INC

Practice address

7125 Grand Montecito Pkwy
St. 110
Las Vegas, NV 89149-0260

Phone

(702) 839-2010

Fax

(702) 839-2977

NPI assigned

Jan 17, 2007

Last updated

Sep 24, 2012By 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. Noah Levine, DPMNPI 1891893434

Title

Doctor

Phone

(702) 839-2010

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Noah Lee Levine, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1891893434
  Medicare reassignment NPD Authorized official
• Derek Anders, D.P.M.

  • Podiatrist
  • Las Vegas, NV
  • NPI 1992742118
  NPD (past)
• Mandy Lynn Olcott, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Haven, CT
  • NPI 1528222072
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1457403057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 GRAND MONTECITO PKWY",
            "address_2": "ST. 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490260",
            "telephone_number": "702-839-2010",
            "fax_number": "702-839-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 GRAND MONTECITO PKWY",
            "address_2": "ST. 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490260",
            "telephone_number": "702-839-2010",
            "fax_number": "702-839-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE FOOT CARE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "702-839-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00733931",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP1514",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102012",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00733933",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.