Family Foot Health Specialists, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

099 Issued in NM

Legal business name

FAMILY FOOT HEALTH SPECIALISTS, P.C.

Practice address

718 Lomas Blvd NW
Albuquerque, NM 87102-2073

Phone

(505) 843-6464

Fax

(505) 764-9210

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Darlo G. Vander Wilt, DPM

Title

President/Owner

Phone

(505) 843-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1679741813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464",
            "fax_number": "505-764-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022073",
            "telephone_number": "505-843-6464",
            "fax_number": "505-764-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT HEALTH SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "VANDER WILT",
        "authorized_official_first_name": "DARLO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-843-6464",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F8031",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Centers PA
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• Family Dimensions Inc.
• Family Eye Care/Children's Eye Center of New Mexico, P.C.
• Family Harmony
• Family Health Clinic of New Mexico Inc.
• Family Healthcare LLC
• Family Hospice LTD (Gentiva)
• Family Medicine PC

• Podiatrist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.