Active NPI
Sedona Foot & Ankle Specialists P C
- Primary Podiatric Medicine Podiatrist
- Cottonwood, AZ
National Provider Identifier
1477500155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- SEDONA FOOT & ANKLE SPECIALISTS P C
- Practice address
- 401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4169 - Phone
- (928) 282-3305
- Fax
- (928) 282-6816
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serjik Nazarian, DPM
- Title
- Provider
- Phone
- (928) 282-3305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4169
Mailing address
401 S Calvary Way
Ste a
Cottonwood, AZ 86326-4169
Phone (928) 282-3305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149262 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
105 Roadrunner Dr
Ste 3
Sedona, AZ 86336
Phone (602) 282-3305
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Cottonwood, AZ
- NPI 1215994561
-
- Podiatrist
- Hamden, CT
- NPI 1376547992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1477500155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S CALVARY WAY",
"address_2": "STE A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264169",
"telephone_number": "928-282-3305",
"fax_number": "928-282-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S CALVARY WAY",
"address_2": "STE A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264169",
"telephone_number": "928-282-3305",
"fax_number": "928-282-6816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDONA FOOT & ANKLE SPECIALISTS P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2023-09-15",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "NAZARIAN",
"authorized_official_first_name": "SERJIK",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "928-282-3305",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149262",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.