NPIMap

Organization Active NPI

The Foot & Ankle Institute LLC

  • Podiatrist
  • Mesquite, NV
National Provider Identifier
1659527893
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
78902GR Issued in NV
Legal business name
THE FOOT & ANKLE INSTITUTE LLC
Practice address
340 Falcon Ridge Pkwy
Building 300, Suite a
Mesquite, NV 89027-8850
Phone
(702) 346-7678
Fax
(702) 346-1623
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Mrs. Brent L Davis
Title
Administrator
Phone
(435) 628-2671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 78902GR NV Primary

Addresses

Primary practice location

340 Falcon Ridge Pkwy
Building 300, Suite a
Mesquite, NV 89027-8850

Mailing address

340 Falcon Ridge Pkwy
Building 300, Suite a
Mesquite, NV 89027-8850
Phone (702) 346-7678

Other identifiers 2

IdentifierTypeStateIssuer
NV2504OtherNVBCBS FEDERAL
100506164MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
The Foot Ankle Institute LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1659527893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY",
            "address_2": "BUILDING 300, SUITE A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-7678",
            "fax_number": "702-346-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY",
            "address_2": "BUILDING 300, SUITE A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-7678",
            "fax_number": "702-346-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT & ANKLE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-628-2671",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "78902GR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "NV2504",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506164",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.