Active NPI
Coral Desert Foot & Ankle PC
- Customized Equipment (DME)
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- CORAL DESERT FOOT & ANKLE PC
- Practice address
- 1062 E Riverside Dr Ste 102
St George, UT 84790-4454 - Phone
- (435) 634-9225
- Fax
- (435) 634-8426
- NPI assigned
- Aug 3, 2015
- Last updated
- Sep 27, 2024
- 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
- Jeffrey Lee Stewart, DPM
- Title
- President
- Phone
- (435) 634-9225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
1062 E Riverside Dr Ste 102
St George, UT 84790-4454
Mailing address
1062 E Riverside Dr Ste 102
St George, UT 84790-4454
Phone (435) 634-9225
National Provider Directory
National Provider DirectoryLocations
76 E 100 S
Kanab, UT 84741
Phone (435) 634-9225
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.
-
- Podiatrist
- St George, UT
- NPI 1184623092
-
- Foot & Ankle Surgery Podiatrist
- St George, UT
- NPI 1407820418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1609252691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 E RIVERSIDE DR STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904454",
"telephone_number": "435-634-9225",
"fax_number": "435-634-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 E RIVERSIDE DR STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904454",
"telephone_number": "435-634-9225",
"fax_number": "435-634-8426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL DESERT FOOT & ANKLE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-03",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-634-9225",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.