Organization Active NPI

Foot and Ankle Care of Boulder County, LLC

  • Foot & Ankle Surgery Podiatrist
  • Boulder, CO
National Provider Identifier
1710168786
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC
Practice address
1400 28TH St
Suite 2
Boulder, CO 80303-1096
Phone
(303) 449-2000
Fax
(303) 449-9475
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Thomas E Shonka, DPM
Title
Managing Partner
Phone
(303) 449-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1400 28TH St
Suite 2
Boulder, CO 80303-1096

Mailing address

1400 28TH St
Suite 2
Boulder, CO 80303-1096
Phone (303) 449-2000

Other identifiers 1

IdentifierTypeStateIssuer
98726251MedicaidCO

National Provider Directory

National Provider Directory

Locations

7251 W 20th St
Greeley, CO 80634
Phone (303) 449-2000

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1710168786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 28TH ST",
            "address_2": "SUITE 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096",
            "telephone_number": "303-449-2000",
            "fax_number": "303-449-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 28TH ST",
            "address_2": "SUITE 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096",
            "telephone_number": "303-449-2000",
            "fax_number": "303-449-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SHONKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-449-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98726251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.