Connecticut Foot Specialists, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000144 Issued in CT

Legal business name

CONNECTICUT FOOT SPECIALISTS, P.C.

Practice address

11 South Rd Lowr Level20
Farmington, CT 06032-2483

Phone

(860) 470-5703

Fax

(860) 909-0506

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Brian Keith WagnerNPI 1093743502

Title

Owner

Phone

(860) 470-5703

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Brian Keith Wagner, D.P.M.

  • Foot Surgery Podiatrist
  • Farmington, CT
  • NPI 1093743502
  Medicare reassignment Care Compare group NPD Authorized official
• Alla Kirzon

  • Family Nurse Practitioner
  • Newington, CT
  • NPI 1952841199
  Care Compare group
• Adam Paul Mucinskas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cromwell, CT
  • NPI 1689780132
  NPD (past)
• Elliot S Pollack, D.P.M.

  • Podiatrist
  • East Granby, CT
  • NPI 1073542312
  NPD (past)
• Jyothi A Amin, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • North Andover, MA
  • NPI 1417188624
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1487684346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD",
            "address_2": "LOWER LEVEL 20",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-470-5703",
            "fax_number": "860-606-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD LOWR LEVEL20",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-470-5703",
            "fax_number": "860-909-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FOOT SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-470-5703"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000144",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Farmington, CT
• Providers in Farmington, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.