Individual provider Active NPI

John G Chiakmakis, DPM

  • Podiatrist
  • Sierra Vista, AZ
National Provider Identifier
1699707240
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
100 Issued in AZ
Practice address
5000 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2422
Phone
(520) 417-2244
Fax
(520) 459-0487
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 100 AZ Primary

Addresses

Primary practice location

5000 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2422

Mailing address

5000 E Mediterranean Dr
Suite D
Sierra Vista, AZ 85635-2422
Phone (520) 417-2244

Other identifiers 2

IdentifierTypeStateIssuer
AZ0158220OtherAZBLUE CROSS BLUE SHIELD
P00276895OtherAZMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0100AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis H. Freed DPM PC Past Accepting new patients
John G. Chiakmakis DPM PLLC Podiatrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1699707240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MEDITERRANEAN DR",
            "address_2": "SUITE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352422",
            "telephone_number": "520-417-2244",
            "fax_number": "520-459-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MEDITERRANEAN DR",
            "address_2": "SUITE D",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352422",
            "telephone_number": "520-417-2244",
            "fax_number": "520-459-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAKMAKIS",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0158220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00276895",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.