Organization Active NPI

Cameron Foot & Ankle LLC

  • Podiatrist
  • Mesquite, NV
National Provider Identifier
1487308458
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CAMERON FOOT & ANKLE LLC
Practice address
1301 Bertha Howe Ave Ste 6
Mesquite, NV 89027-7503
Phone
(702) 346-5227
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Landon Cameron, DPMNPI 1598119463
Title
Owner
Phone
(801) 673-8392

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 6
Mesquite, NV 89027-7503

Mailing address

1301 Bertha Howe Ave Ste 6
Mesquite, NV 89027-7503
Phone (702) 346-5227

Other practice location 1

1841 E Riverside Dr Ste 102
St George, UT 84790-7063
Phone (435) 714-6996

Other names 1

  • Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220329001625 NV Part B Supplier - Clinic/Group Practice 0547656654 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, NV
O20220815000452 NV DME Supplier - Physician - Podiatry 0547656654 Practice locations: Mesquite, NV
O20230131001216 UT Part B Supplier - Clinic/Group Practice 0547656654 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cameron Foot Ankle LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9880 S 300 W
Ste 310
Sandy, UT 84070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1487308458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 6",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-5227",
            "fax_number": "702-346-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 6",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 E Riverside Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907063",
            "country_code": "US",
            "telephone_number": "435-714-6996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMERON FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-673-8392",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.