Sally A Servold, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0459 Issued in CO

Practice address

820 Castle Valley Blvd
Suite 210
New Castle, CO 81647-9480

Phone

(970) 928-9785

Fax

(970) 928-0423

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831281708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD",
            "address_2": "SUITE 210",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479480",
            "telephone_number": "970-928-9785",
            "fax_number": "970-928-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD",
            "address_2": "SUITE 210",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479480",
            "telephone_number": "970-928-9785",
            "fax_number": "970-928-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVOLD",
        "first_name": "SALLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "0459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "0459",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004597",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Jean Rischmiller, LPCC
• Roaring Fork Home Care LLC
• James M Robinson
• Lauren Roper, D.D.S.
• Victoria Serna, L.M.T
• Skyler Brice Noel Sherman, ATC, LAT
• Andrew Slifko, PT, DPT
• Charlotte D Strahm, DNSC.,RN,CNS
• Christina Elaine Tinker, MA
• Mark Townsley

• Foot Surgery Podiatrist in New Castle, CO
• Providers in New Castle, CO by specialty
• Foot Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.