Organization Active NPI

Christopher T Offutt

  • Foot & Ankle Surgery Podiatrist
  • Alamosa, CO
National Provider Identifier
1598935694
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00513 Issued in CO
Legal business name
CHRISTOPHER T OFFUTT
Practice address
2415 Mullins Ave
Alamosa, CO 81101-4274
Phone
(719) 587-0330
Fax
(719) 587-0440
NPI assigned
Mar 4, 2008
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Christopher T Offutt, DPMNPI 1902976566
Title
Owner
Phone
(719) 587-0330

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
Foot & Ankle Surgery Podiatrist 213ES0103X 00513 CO Primary

Addresses

Primary practice location

2415 Mullins Ave
Alamosa, CO 81101-4274

Mailing address

2415 Mullins Ave
Alamosa, CO 81101-4274
Phone (719) 587-0330

Other identifiers 1

IdentifierTypeStateIssuer
01005131MedicaidCO

Other names 1

  • Christopher T Offutt DPM Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930082963 CO DME Supplier - Physician - Podiatry 1951412410 Practice locations: Alamosa, CO

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, 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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1598935694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-587-0330",
            "fax_number": "719-587-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-587-0330",
            "fax_number": "719-587-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER T OFFUTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-587-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "00513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01005131",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher T Offutt DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.