NPIMap

Organization Active NPI

Wilton Footcare Associates LLC

  • Primary Podiatric Medicine Podiatrist
  • Wilton, CT
National Provider Identifier
1487980173
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
474 Issued in CT
Legal business name
WILTON FOOTCARE ASSOCIATES LLC
Practice address
27 Danbury Rd
3Rd Floor
Wilton, CT 06897-4405
Phone
(203) 761-1230
Fax
(203) 761-6767
NPI assigned
Oct 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Michael Connor, D.P.M.NPI 1497817118
Title
Owner
Phone
(203) 761-1230

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X 474 CT Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 474 CT
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

27 Danbury Rd
3Rd Floor
Wilton, CT 06897-4405

Mailing address

27 Danbury Rd
3Rd Floor
Wilton, CT 06897-4405
Phone (203) 761-1230

Other identifiers 2

IdentifierTypeStateIssuer
04091617MedicaidCT
ZS132OtherCTOXFORD HEALTH PLANS

Other names 1

  • Michael Connor, DPM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091117000539 CT Part B Supplier - Clinic/Group Practice 1658419304 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, CT; Norwalk, CT; Redding, CT; Wilton, CT

National Provider Directory

National Provider Directory

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": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1487980173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DANBURY RD",
            "address_2": "3RD FLOOR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-761-1230",
            "fax_number": "203-761-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 DANBURY RD",
            "address_2": "3RD FLOOR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-761-1230",
            "fax_number": "203-761-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTON FOOTCARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-761-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "474",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "474",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04091617",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "ZS132",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Connor, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.