NPIMap

Organization Active NPI

K2 Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Murray, UT
National Provider Identifier
1629371307
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1045170501 Issued in UT
Legal business name
K2 FOOT AND ANKLE PLLC
Practice address
168 E 5900 S # 102
Murray, UT 84107-7287
Phone
(801) 441-2719
Fax
(801) 327-2304
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Stanton M Smith, DPMNPI 1043283856
Title
Member/Physician
Phone
(801) 441-2719

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 1045170501 UT Primary

Addresses

Primary practice location

168 E 5900 S # 102
Murray, UT 84107-7287

Mailing address

168 E 5900 S # 102
Murray, UT 84107-7287
Phone (801) 441-2719

Other practice location 1

345 S Hale St
Grantsville, UT 84029-9546
Phone (435) 841-1618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110118001329 UT Part B Supplier - Clinic/Group Practice 5193914471 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT; South Salt Lake, UT; Sandy, UT; Murray, UT; Grantsville, UT
O20110607000100 UT DME Supplier - Physician - Podiatry 5193914471 Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

5770 S 250 E
Ste 41
Murray, UT 84107
Phone (801) 314-5400

168 E 5900 S
#102
Salt Lake City, UT 84107

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6358/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1629371307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E 5900 S # 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077287",
            "telephone_number": "801-441-2719",
            "fax_number": "801-327-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 E 5900 S # 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077287",
            "telephone_number": "801-441-2719",
            "fax_number": "801-327-2304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 S Hale St",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "UT",
            "postal_code": "840299546",
            "country_code": "US",
            "telephone_number": "435-841-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K2 FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "801-441-2719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "1045170501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.