NPIMap

Organization Active NPI

Peak Performance Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Parker, CO
National Provider Identifier
1720301716
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
682 Issued in CO
Legal business name
PEAK PERFORMANCE FOOT & ANKLE LLC
Practice address
9397 Crown Crest Blvd
Suite #230
Parker, CO 80138-8575
Phone
(303) 880-2093
NPI assigned
Mar 5, 2010
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Dr. Jeffrey Todd Domingue, D.P.M.
Title
Podiatric Physician / Owner
Phone
(303) 909-6819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 682 CO Primary

Addresses

Primary practice location

9397 Crown Crest Blvd
Suite #230
Parker, CO 80138-8575

Mailing address

10787 Huntwick St
Highlands Ranch, CO 80130-6992
Phone (303) 880-2093

Other identifiers 3

IdentifierTypeStateIssuer
1720301716OtherCONPI CORPORATION
U68075OtherCONPI INDIVIDUAL 1962418178
1720301716OtherCOPEAK PERFORMANCE FOOT & ANKLE, LLC

National Provider Directory

National Provider Directory

Locations

13111 E Briarwood Ave
Ste 250
Centennial, CO 80112
Phone (303) 805-1800

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1720301716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 HUNTWICK ST",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306992",
            "telephone_number": "303-880-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "address_2": "SUITE #230",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388575",
            "telephone_number": "303-880-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "DOMINGUE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PODIATRIC PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "303-909-6819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATION",
            "identifier": "1720301716",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL  1962418178",
            "identifier": "U68075",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEAK PERFORMANCE FOOT & ANKLE, LLC",
            "identifier": "1720301716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.