NPIMap

Organization Active NPI

Centennial Foot & Ankle Specialists

  • Podiatrist
  • Aurora, CO
National Provider Identifier
1730196338
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
436 Issued in CO
Legal business name
CENTENNIAL FOOT & ANKLE SPECIALISTS
Practice address
15901 E Briarwood Cir
Unit 300
Aurora, CO 80016-1599
Phone
(303) 632-3668
Fax
(303) 632-3669
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Robert Sven Anderson, D.P.M.NPI 1619972437
Title
President
Phone
(303) 632-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 436 CO Primary

Addresses

Primary practice location

15901 E Briarwood Cir
Unit 300
Aurora, CO 80016-1599

Mailing address

15901 E Briarwood Cir
Unit 300
Aurora, CO 80016-1599
Phone (303) 632-3668

Other identifiers 1

IdentifierTypeStateIssuer
39105334MedicaidCO

National Provider Directory

National Provider Directory

Locations

15901 E Briarwood Cir
Unit 300
Aurora, CO 80016
Phone (303) 632-3668

14000 E Arapahoe Rd
Ste 120
Centennial, CO 80112
Phone (303) 632-3668

Practitioners & affiliated clinicians

Practitioners 3

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1730196338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR",
            "address_2": "UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161599",
            "telephone_number": "303-632-3668",
            "fax_number": "303-632-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR",
            "address_2": "UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161599",
            "telephone_number": "303-632-3668",
            "fax_number": "303-632-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-632-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39105334",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.