Organization Active NPI

Arches Foot and Ankle Clinic PLLC

  • Podiatric Clinic/Center
  • Lehi, UT
National Provider Identifier
1710395140
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
83244110501 Issued in UT
Legal business name
ARCHES FOOT AND ANKLE CLINIC PLLC
Practice address
179 N 1200 E Ste 103
Lehi, UT 84043-2255
Phone
(801) 766-9947
Fax
(801) 766-6022
NPI assigned
Jul 29, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Wade Christiansen, DPMNPI 1447482252
Title
Owner
Phone
(801) 766-9947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 83244110501 UT Primary

Addresses

Primary practice location

179 N 1200 E Ste 103
Lehi, UT 84043-2255

Mailing address

179 N 1200 E Ste 103
Lehi, UT 84043-2255
Phone (801) 766-9947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141001000496 UT DME Supplier - Physician - Podiatry 1850511551 Practice locations: Lehi, UT
O20150304001229 UT Part B Supplier - Clinic/Group Practice 1850511551 Receives reassigned benefits from 1 practitioner
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

179 N 1200 E
Ste 103
Lehi, UT 84043
Phone (801) 766-9947

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": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1710395140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N 1200 E STE 103",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432255",
            "telephone_number": "801-766-9947",
            "fax_number": "801-766-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N 1200 E STE 103",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432255",
            "telephone_number": "801-766-9947",
            "fax_number": "801-766-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHES FOOT AND ANKLE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-766-9947",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "UT",
            "license": "83244110501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.