Organization Active NPI

Dynamic Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Fredericksburg, VA
National Provider Identifier
1699367870
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DYNAMIC FOOT AND ANKLE CENTER
Practice address
4103 Lafayette Blvd FL 2
Fredericksburg, VA 22408-4274
Phone
(540) 898-6500
Fax
(540) 834-0363
NPI assigned
Feb 9, 2021
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dannielle Vonderlinden, DPMNPI 1225349574
Title
Owner
Phone
(571) 418-8670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

4103 Lafayette Blvd FL 2
Fredericksburg, VA 22408-4274

Mailing address

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Phone (571) 418-8670

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dynamicfootandanklecenter.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11104/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBEBD

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1699367870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "571-418-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 LAFAYETTE BLVD FL 2",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084274",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "VONDERLINDEN",
        "authorized_official_first_name": "DANNIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-418-8670",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dynamicfootandanklecenter.com",
            "affiliation": "N",
            "address_1": "4103 Lafayette Blvd Fl 2",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224084274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.