Active NPI
Family Foot Health Specialists of Farmington, LLC
- Primary Podiatric Medicine Podiatrist
- Farmington, NM
National Provider Identifier
1679211791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- FAMILY FOOT HEALTH SPECIALISTS OF FARMINGTON, LLC
- Practice address
- 4801 N Butler Ave Ste 14-102
Farmington, NM 87401-0815 - Phone
- (505) 327-3650
- Fax
- (505) 327-2350
- NPI assigned
- May 27, 2022
- Last updated
- Mar 6, 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
- Dr. Denise Dorner, DPM
- Title
- Podiatrist
- Phone
- (505) 860-4919
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
4801 N Butler Ave Ste 14-102
Farmington, NM 87401-0815
Mailing address
4801 N Butler Ave Ste 14-102
Farmington, NM 87401-0815
Phone (505) 327-3650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740286780 | Other | NM | NPI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drdd@nmpods.com | Direct | |
| CONNECT URL | drdd@nmpods.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Farmington, NM
- NPI 1740286780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1679211791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 N BUTLER AVE STE 14-102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874010815",
"telephone_number": "505-327-3650",
"fax_number": "505-327-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 N BUTLER AVE STE 14-102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874010815",
"telephone_number": "505-327-3650",
"fax_number": "505-327-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY FOOT HEALTH SPECIALISTS OF FARMINGTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "DORNER",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "505-860-4919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1740286780",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drdd@nmpods.com",
"affiliation": "N",
"endpointDescription": "office mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4801 N Butler Ave Ste 14-102",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874010815",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drdd@nmpods.com",
"affiliation": "N",
"endpointDescription": "office mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4801 N Butler Ave Ste 14-102",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874010815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.