Organization Active NPI

Grand Valley Foot & Ankle Center PC

  • Foot & Ankle Surgery Podiatrist
  • Grand Junction, CO
National Provider Identifier
1720207863
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GRAND VALLEY FOOT & ANKLE CENTER PC
Practice address
2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858
Phone
(970) 245-3338
Fax
(970) 245-9499
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Rachel Owens
Title
Practice Manager
Phone
(970) 245-3338

Specialties & licenses 1

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

Addresses

Primary practice location

2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858

Mailing address

2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858
Phone (970) 245-3338

Other identifiers 1

IdentifierTypeStateIssuer
04015509MedicaidCO

National Provider Directory

National Provider Directory

Locations

1114 N 1st St
Ste 103
Grand Junction, CO 81501
Phone (970) 245-3338

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1720207863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 206",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 206",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-245-3338"
    },
    "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": "04015509",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.