Organization Active NPI

Mary Peters DPM, LLC

  • Foot Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1679716351
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
582 Issued in AZ
Legal business name
MARY PETERS DPM, LLC
Practice address
270 W Chandler Heights Rd
Suite 5
Chandler, AZ 85248-5055
Phone
(480) 895-0276
Fax
(480) 895-6933
NPI assigned
Apr 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mary Margaret Peters, D.P.M.
Title
Owner/Podiatrist
Phone
(480) 895-0276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 582 AZ Primary

Addresses

Primary practice location

270 W Chandler Heights Rd
Suite 5
Chandler, AZ 85248-5055

Mailing address

270 W Chandler Heights Rd
Suite 5
Chandler, AZ 85248-5055
Phone (480) 895-0276

National Provider Directory

National Provider Directory

Locations

13838 S 46th Pl
Ste 105
Phoenix, AZ 85044
Phone (480) 895-0276

Practitioners & affiliated clinicians

Practitioners 1

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": "1239408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1679716351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W CHANDLER HEIGHTS RD",
            "address_2": "SUITE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485055",
            "telephone_number": "480-895-0276",
            "fax_number": "480-895-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W CHANDLER HEIGHTS RD",
            "address_2": "SUITE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485055",
            "telephone_number": "480-895-0276",
            "fax_number": "480-895-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY PETERS DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-11",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "480-895-0276",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.