Central Utah Foot Clinic, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

102652-0501 Issued in UT

Legal business name

CENTRAL UTAH FOOT CLINIC, LLC

Practice address

76 E Commerce Dr
Ste 204
Saratoga Springs, UT 84045-4022

Phone

(801) 900-1130

Fax

(801) 756-8252

NPI assigned

Oct 4, 2012

Organization subpart

No

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

Authorized official

Name

Nancy Summers

Title

Office Manager

Phone

(801) 756-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Utah Foot Clinic LL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Utah Foot Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
  • NPI 1881729507
  NPD tax ID
• Central Utah Foot Clinic, LLC

  • Foot Surgery Podiatrist
  • American Fork, UT
  • NPI 1881945608
  NPD tax ID

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1750633558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 1220 E",
            "address_2": "STE 12",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032089",
            "telephone_number": "801-756-4200",
            "fax_number": "801-756-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR",
            "address_2": "STE 204",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454022",
            "telephone_number": "801-900-1130",
            "fax_number": "801-756-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH FOOT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-756-4200"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "102652-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881729507",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erin Christensen

• Foot & Ankle Surgery Podiatrist in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.