Active NPI
Christopher T Offutt
- Foot & Ankle Surgery Podiatrist
- Alamosa, CO
National Provider Identifier
1598935694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00513
- 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, 2013
- 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. Christopher T Offutt, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005131 | Medicaid | CO |
Other names 1
- Christopher T Offutt DPM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082963 | CO | DME Supplier - Physician - Podiatry | 1951412410 | Practice locations: Alamosa, CO |
National Provider Directory
National Provider DirectoryPractitioners & 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.