NPIMap

Organization Active NPI

Boulder Foot & Ankle Center, LTD.

  • Primary Podiatric Medicine Podiatrist
  • Boulder City, NV
National Provider Identifier
1598890188
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NV9807 Issued in NV
Legal business name
BOULDER FOOT & ANKLE CENTER, LTD.
Practice address
999 Adams Blvd
Ste 103
Boulder City, NV 89005-2244
Phone
(702) 293-5036
Fax
(866) 409-1683
NPI assigned
Feb 22, 2007
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Wesley W Lyon, D.P.M.NPI 1538145693
Title
Owner
Phone
(702) 293-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X NV9807 NV Primary

Addresses

Primary practice location

999 Adams Blvd
Ste 103
Boulder City, NV 89005-2244

Mailing address

PO Box 1344
Overton, NV 89040-1344
Phone (702) 293-5036

National Provider Directory

National Provider Directory

Locations

999 Adams Blvd
Ste 103
Boulder City, NV 89005
Phone (702) 293-5036

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1598890188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "OVERTON",
            "state": "NV",
            "postal_code": "890401344",
            "telephone_number": "702-293-5036",
            "fax_number": "866-409-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ADAMS BLVD",
            "address_2": "STE 103",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052244",
            "telephone_number": "702-293-5036",
            "fax_number": "866-409-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER FOOT & ANKLE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-293-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "NV9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.