Organization Active NPI

Thunderbird Footcare PLC

  • Podiatrist
  • Peoria, AZ
National Provider Identifier
1740305523
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
THUNDERBIRD FOOTCARE PLC
Practice address
8325 W Happy Valley Rd
Unit 105
Peoria, AZ 85383-4361
Phone
(602) 547-2111
Fax
(602) 547-0473
NPI assigned
Mar 20, 2007
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Kathleen M Stone, DPMNPI 1033176631
Title
Partner
Phone
(602) 547-2111

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

8325 W Happy Valley Rd
Unit 105
Peoria, AZ 85383-4361

Mailing address

8325 W Happy Valley Rd
Unit 105
Peoria, AZ 85383-4361
Phone (602) 547-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421000213 AZ Part B Supplier - Clinic/Group Practice 5092701607 Receives reassigned benefits from 4 practitioners
Practice locations: Peoria, AZ
O20100930032753 AZ DME Supplier - Physician - Podiatry 5092701607 Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

8325 W Happy Valley Rd
Unit 105
Peoria, AZ 85383
Phone (602) 292-3703

Practitioners & affiliated clinicians

Practitioners 4

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1740305523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 W HAPPY VALLEY RD",
            "address_2": "UNIT 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834361",
            "telephone_number": "602-547-2111",
            "fax_number": "602-547-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 W HAPPY VALLEY RD",
            "address_2": "UNIT 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834361",
            "telephone_number": "602-547-2111",
            "fax_number": "602-547-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD FOOTCARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-547-2111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.