Active NPI
Rock Canyon Foot and Ankle Clinic, LLC
- Foot & Ankle Surgery Podiatrist
- Castle Rock, CO
National Provider Identifier
1598924169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 678
- Legal business name
- ROCK CANYON FOOT AND ANKLE CLINIC, LLC
- Practice address
- 3740 Dacoro LN
Suite 105
Castle Rock, CO 80109-2503 - Phone
- (303) 660-4115
- NPI assigned
- Jun 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeremy Cade Christensen, D.P.M.
- Title
- Manager
- Phone
- (303) 660-4115
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 678 | CO | Primary |
Addresses
Primary practice location
3740 Dacoro LN
Suite 105
Castle Rock, CO 80109-2503
Mailing address
3740 Dacoro LN Ste 105
Castle Rock, CO 80109-2515
Phone (303) 660-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/CHCACD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fort Carson, CO
- NPI 1881180719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586131200000",
"number": "1598924169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 DACORO LN STE 105",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801092515",
"telephone_number": "303-660-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 DACORO LN",
"address_2": "SUITE 105",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801092503",
"telephone_number": "303-660-4115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK CANYON FOOT AND ANKLE CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-08",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "CADE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "303-660-4115",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.