Organization Active NPI

Foot and Ankle Clinic of Danvers, LLC

  • Podiatrist
  • Danvers, MA
National Provider Identifier
1588909279
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2029 Issued in MA
Legal business name
FOOT AND ANKLE CLINIC OF DANVERS, LLC
Practice address
140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625
Phone
(978) 777-7707
Fax
(978) 777-3402
NPI assigned
Dec 6, 2012
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Dr. Ramiro J Manzano, DPMNPI 1124033907
Title
President/Physician
Phone
(978) 777-7707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2029 MA Primary

Addresses

Primary practice location

140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625

Mailing address

140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625
Phone (978) 777-7707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000127 MA Part B Supplier - Clinic/Group Practice 1658516380 Receives reassigned benefits from 1 practitioner
Practice locations: Danvers, MA

National Provider Directory

National Provider Directory

Locations

140 Commonwealth Ave
Ste 107
Danvers, MA 01923
Phone (978) 777-7707

140 Commonwealth Ave
Ste 205
Danvers, MA 01923
Phone (978) 777-5188

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1588909279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE STE 107",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233625",
            "telephone_number": "978-777-7707",
            "fax_number": "978-777-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE STE 107",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233625",
            "telephone_number": "978-777-7707",
            "fax_number": "978-777-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC OF DANVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "978-777-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.