Family Foot and Ankle Specialists LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FAMILY FOOT AND ANKLE SPECIALISTS LLC

Practice address

828 S 1040 W
Payson, UT 84651-4614

Phone

(801) 980-9444

Fax

(801) 224-5204

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brant Matthew Burnham, DPMNPI 1437511912

Title

Podiatrist/Owner

Phone

(718) 687-7099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEBDA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brant Matthew Burnham, DPM

  • Podiatrist
  • Payson, UT
  • NPI 1437511912
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1700447166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S 1040 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "801-980-9444",
            "fax_number": "801-224-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S 1040 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "801-980-9444",
            "fax_number": "801-224-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Fairway Ln",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846608400",
            "country_code": "US",
            "telephone_number": "718-687-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3524 Fairway Ln",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846608400",
            "country_code": "US",
            "telephone_number": "718-687-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "828 S 1040 W",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846514614",
            "country_code": "US",
            "telephone_number": "801-980-9444",
            "fax_number": "801-224-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "BRANT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "718-687-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Spencer Ericksen, OD
• Paige Erickson
• Shaun Evans, CRNA
• Michael Rex Ewell, OTR
• Family Audiology & Hearing Services, Inc
• Kerry Fannin, CSW
• Chad William Farley, MD
• John M. Farley, D.D.S.
• Kevin Matthew Farley, DMD
• Salvador Fernandez, MD

• Podiatrist in Payson, UT
• Providers in Payson, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.