Organization Active NPI

Alaska Podiatry Associates, a Professional Corporation

  • Foot Surgery Podiatrist
  • Anchorage, AK
National Provider Identifier
1487786703
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
196425 Issued in AK
Legal business name
ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION
Practice address
2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953
Phone
(907) 562-4958
Fax
(907) 562-5195
NPI assigned
Mar 12, 2007
Organization subpart
Yes
Parent organization
ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Kenneth C Swayman, D.P.M.
Title
Owner
Phone
(907) 562-4958

Practitioners 8

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040217000176 AK Part B Supplier - Clinic/Group Practice 4183519408 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory
Part of
Alaska Podiatry Associates a Professional Corporation

Locations

2741 Debarr Rd
Ste C315
Anchorage, AK 99508
Phone (907) 562-4958

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 196425 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953

Mailing address

2741 Debarr Rd
Suite C-315
Anchorage, AK 99508-2953
Phone (907) 562-4958

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PDG262MedicaidAK

Other names 1

NPPES NPI Registry
  • ALLIANCE FOOT & ANKLE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2017.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1487786703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C-315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-562-4958",
            "fax_number": "907-562-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD",
            "address_2": "SUITE C-315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082953",
            "telephone_number": "907-562-4958",
            "fax_number": "907-562-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALASKA PODIATRY ASSOCIATES, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2007-03-12",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "SWAYMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-562-4958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AK",
            "license": "196425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PDG262",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANCE FOOT & ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.