Organization Active NPI

Endurance Foot and Ankle, LLC

Doing business as Endurance Foot and Ankle

  • Podiatric Clinic/Center
  • Issaquah, WA
National Provider Identifier
1720647100
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
ENDURANCE FOOT AND ANKLE, LLC
Doing business as
Endurance Foot and Ankle
Practice address
175 1St PL NW Ste B
Issaquah, WA 98027-2746
Phone
(425) 780-7055
Fax
(425) 968-1233
NPI assigned
Jun 10, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Dr. Christopher Kirk Jones, DPMNPI 1194165274
Title
Owner
Phone
(909) 215-3370

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 NU Primary

Addresses

Primary practice location

175 1St PL NW Ste B
Issaquah, WA 98027-2746

Mailing address

175 1St PL NW Ste B
Issaquah, WA 98027-2746
Phone (425) 780-7055

Other practice location 1

32440 SE 54th St
Fall City, WA 98024-5102
Phone (909) 215-3370

Other names 1

  • Endurance Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190805000735 WA Part B Supplier - Clinic/Group Practice 6002143765 Receives reassigned benefits from 1 practitioner
Practice locations: Issaquah, WA

National Provider Directory

National Provider Directory

Locations

175 1st Pl NW
Ste B
Issaquah, WA 98027
Phone (425) 780-7055

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": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1720647100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272746",
            "telephone_number": "425-780-7055",
            "fax_number": "425-968-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 1ST PL NW STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272746",
            "telephone_number": "425-780-7055",
            "fax_number": "425-968-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32440 SE 54th St",
            "address_purpose": "LOCATION",
            "city": "Fall City",
            "state": "WA",
            "postal_code": "980245102",
            "country_code": "US",
            "telephone_number": "909-215-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDURANCE FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-215-3370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endurance Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Endurance Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.