NPIMap

Organization Active NPI

Flegal Foot & Ankle Clinic, LLC

Doing business as Flegal Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1710955745
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
102232-0501 Issued in UT
Legal business name
FLEGAL FOOT & ANKLE CLINIC, LLC
Doing business as
Flegal Clinic, LLC
Practice address
740 E 3900 S
Suite 108
Salt Lake City, UT 84107-2525
Phone
(801) 266-3113
NPI assigned
Mar 8, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Douglas Clark Flegal, DPMNPI 1063680668
Title
Manager
Phone
(801) 266-3113

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 102232-0501 UT Primary

Addresses

Primary practice location

740 E 3900 S
Suite 108
Salt Lake City, UT 84107-2525

Mailing address

740 E 3900 S
Suite 108
Salt Lake City, UT 84107-2525
Phone (801) 266-3113

Other names 1

  • Flegal Clinic, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1710955745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 3900 S",
            "address_2": "SUITE 108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072525",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 3900 S",
            "address_2": "SUITE 108",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072525",
            "telephone_number": "801-266-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEGAL FOOT & ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "FLEGAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-266-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "102232-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flegal Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.