Organization Active NPI

Mobile Podiatry Group PLLC

  • Podiatrist
  • Littleton, CO
National Provider Identifier
1740980143
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MOBILE PODIATRY GROUP PLLC
Practice address
7761 Shaffer Pkwy Ste 225
Littleton, CO 80127-3729
Phone
(720) 707-2127
Fax
(720) 823-7462
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Christopher Sullivan, DPMNPI 1750803748
Title
Owner
Phone
(978) 886-7780

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

7761 Shaffer Pkwy Ste 225
Littleton, CO 80127-3729

Mailing address

9976 Heatherwood LN
Highlands Ranch, CO 80126-8102

Other practice location 1

9976 Heatherwood Ln
Highlands Ranch, CO 80126-8102
Phone (978) 886-7780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523003328 CO Part B Supplier - Clinic/Group Practice 2860858495 Receives reassigned benefits from 1 practitioner
Practice locations: Highlands Ranch, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1740980143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9976 HEATHERWOOD LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY STE 225",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273729",
            "telephone_number": "720-707-2127",
            "fax_number": "720-823-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9976 Heatherwood Ln",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801268102",
            "country_code": "US",
            "telephone_number": "978-886-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE PODIATRY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-886-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.