Organization Active NPI

Arkansas Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, AR
National Provider Identifier
1619533692
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ARKANSAS FOOT & ANKLE SPECIALISTS
Practice address
1794 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5257
Phone
(870) 974-1914
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Dr. Aaron Teufel, DPMNPI 1609288984
Title
Owner
Phone
(870) 974-1914

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1794 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5257

Mailing address

5913 S 66TH St
Cave Springs, AR 72718-8448
Phone (479) 935-3378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191114001647 AR Part B Supplier - Clinic/Group Practice 1052743945 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR
O20200728001400 AR DME Supplier - Physician - Podiatry 1052743945 Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1794 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 935-3378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1619533692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 S 66TH ST",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727188448",
            "telephone_number": "479-935-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035257",
            "telephone_number": "870-974-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "TEUFEL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-974-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

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

Verify at the official NPI Registry.