Organization Active NPI

Family Foot Health Specialists of Farmington, LLC

  • Primary Podiatric Medicine Podiatrist
  • Farmington, NM
National Provider Identifier
1679211791
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Denise Dorner, DPMNPI 1740286780
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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1740286780OtherNMNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20220913000565 NM Part B Supplier - Clinic/Group Practice 2163807132 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.