Active NPI
Ozark Foot & Ankle PLC
- Foot & Ankle Surgery Podiatrist
- Fayetteville, AR
National Provider Identifier
1710256003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- OZARK FOOT & ANKLE PLC
- Practice address
- 2828 E Millennium PL
Suite 2
Fayetteville, AR 72703-6514 - Phone
- (479) 582-1199
- Fax
- (479) 582-1194
- NPI assigned
- Dec 15, 2011
- Last updated
- Aug 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James J Brantley, DPM
- Title
- Managing Member
- Phone
- (479) 549-3835
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
2828 E Millennium PL
Suite 2
Fayetteville, AR 72703-6514
Mailing address
PO Box 8728
Fayetteville, AR 72703-0013
Phone (479) 549-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811005690 | Other | AR | SECRETARY OF STATE-DEPT OF CORPORATIONS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Fayetteville, AR
- NPI 1720083033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376006400000",
"number": "1710256003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8728",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030013",
"telephone_number": "479-549-3835",
"fax_number": "479-549-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 E MILLENNIUM PL",
"address_2": "SUITE 2",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727036514",
"telephone_number": "479-582-1199",
"fax_number": "479-582-1194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OZARK FOOT & ANKLE PLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2013-08-09",
"status": "A",
"authorized_official_last_name": "BRANTLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "479-549-3835",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE-DEPT OF CORPORATIONS",
"identifier": "811005690",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
- Lucy Ozanne, CCC-SLP
- Ozark Center for Lifestyle Medicine, Inc.
- Ozark Community Bridge, LLC
- Ozark Dental Care (Dr Scott Stephens Family and Cosmetic Dentistry)
- Ozark Dermatology Clinic
- Ozark Medical Consultants PLLC
- Ozark Mobility Nemt, LLC
- Ozark Orthopaedics, P.a.
- Ozark Orthopaedics, P.a. (Ozark Orthopaedic and Sports Medicine)
- Ozark Radiation Oncology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.