Organization Active NPI

Peak to Peak Podiatry

  • Podiatrist
  • Longmont, CO
National Provider Identifier
1831539873
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
537 Issued in CO
Legal business name
PEAK TO PEAK PODIATRY
Practice address
1551 Professional LN Unit 160
Longmont, CO 80501-6971
Phone
(720) 600-3380
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
James YakelNPI 1407929821
Title
President
Phone
(720) 600-3380

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 537 CO Primary

Addresses

Primary practice location

1551 Professional LN Unit 160
Longmont, CO 80501-6971

Mailing address

1551 Professional LN Unit 160
Longmont, CO 80501-6971
Phone (720) 600-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140722002568 CO Part B Supplier - Clinic/Group Practice 2567688864 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO
O20210301001916 CO DME Supplier - Physician - Podiatry 2567688864 Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1551 Professional Ln
Unit 160
Longmont, CO 80501
Phone (720) 323-6678

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": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1831539873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 160",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016971",
            "telephone_number": "720-600-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 160",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016971",
            "telephone_number": "720-600-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK TO PEAK PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-12-29",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "YAKEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-600-3380"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.