Organization Active NPI

Ankle Foot and Leg Centers Inc.

  • Primary Podiatric Medicine Podiatrist
  • Orange Park, FL
National Provider Identifier
1467090639
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
ANKLE FOOT AND LEG CENTERS INC.
Practice address
3075 Chestnut Ridge Way
Orange Park, FL 32065-3629
Phone
(321) 591-8039
Fax
(904) 467-3577
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Dedrick Michelle Daniels, DPM
Title
President
Phone
(202) 276-9478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

3075 Chestnut Ridge Way
Orange Park, FL 32065-3629

Mailing address

3075 Chestnut Ridge Way
Orange Park, FL 32065-3629
Phone (321) 591-8039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1467090639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CHESTNUT RIDGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653629",
            "telephone_number": "321-591-8039",
            "fax_number": "904-467-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CHESTNUT RIDGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653629",
            "telephone_number": "321-591-8039",
            "fax_number": "904-467-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE FOOT AND LEG CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "DEDRICK",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-276-9478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.