Four Corners Foot and Ankle P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOUR CORNERS FOOT AND ANKLE P.C.

Practice address

1266 Escalante Dr
Suite 201
Durango, CO 81301-7490

Phone

(970) 259-5303

Fax

(970) 259-3510

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kayse L Lake, DPMNPI 1366686800

Title

Owner

Phone

(970) 259-5303

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Foot & Ankle Center of Colorado Springs

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
  • NPI 1396560017

  Member Of

  NPD member

Locations

Practitioners 3

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

• Kayse Lee Lake, DPM

  • Podiatrist
  • Durango, CO
  • NPI 1366686800

  NM

  Medicare reassignment Care Compare group NPD Authorized official
• Justin L Curtis, DPM

  • Podiatrist
  • Durango, CO
  • NPI 1114456225

  NM

  Medicare reassignment Care Compare group NPD
• Renaissance Zillioux, FNP-BC

  • Family Nurse Practitioner
  • Grand Junction, CO
  • NPI 1285363879
  NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1629416342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-5303",
            "fax_number": "970-259-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-5303",
            "fax_number": "970-259-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS FOOT AND ANKLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "KAYSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-259-5303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "POD710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51073277",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80527850",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi M Fountain, NCBTMB, RN
• Four Corners Center for Neurology Specialty
• Four Corners Dentures
• Four Corners Eye Clinic Optical
• Four Corners Eye Clinic, PC
• Four Corners Foot and Ankle PC
• Four Corners Heart Clinic
• Four Corners Ketamine Center Inc
• Four Corners Laser and Aesthetics
• Four Corners Mental Health, LLC

• Podiatrist in Durango, CO
• Providers in Durango, CO by specialty
• Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.