Organization Active NPI

Front Range Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Highlands Ranch, CO
National Provider Identifier
1497450514
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FRONT RANGE PODIATRY PLLC
Practice address
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone
(720) 662-7184
Fax
(720) 662-7616
NPI assigned
Mar 31, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
David M ShainNPI 1447719505
Title
Co-Owner
Phone
(734) 246-8004

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
Podiatrist 213E00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1500 Park Central Dr
Highlands Ranch, CO 80129-6688

Mailing address

8151 Southpark LN Unit 250
Littleton, CO 80120-4534
Phone (720) 662-7184

National Provider Directory

National Provider Directory
Tax ID family
Front Range Podiatry2 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

8151 Southpark Ln
Unit 250
Littleton, CO 80120
Phone (303) 416-5704

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26419/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1497450514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 SOUTHPARK LN UNIT 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204534",
            "telephone_number": "720-662-7184",
            "fax_number": "720-662-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK CENTRAL DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296688",
            "telephone_number": "720-662-7184",
            "fax_number": "720-662-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "SHAIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-246-8004"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.