Sally a Servold DPM PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0459 Issued in CO

Legal business name

SALLY A SERVOLD DPM PC

Practice address

401 23Rd St
Suite 205
Glenwood Springs, CO 81601-4363

Phone

(970) 928-9785

Fax

(970) 928-0423

NPI assigned

Feb 21, 2008

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sally A Servold, DPMNPI 1831281708

Title

President

Phone

(970) 928-9785

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Sally A Servold, DPM

  • Foot Surgery Podiatrist
  • New Castle, CO
  • NPI 1831281708
  Authorized official Same address or phone

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841469012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 23RD ST",
            "address_2": "SUITE 205",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014363",
            "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": "401 23RD ST",
            "address_2": "SUITE 205",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014363",
            "telephone_number": "970-928-9785",
            "fax_number": "970-928-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY A SERVOLD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SERVOLD",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-928-9785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "0459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004597",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "0459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RSC Aurora, PLLC (Retina Specialists of Colorado)
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• Heather Elizabeth Russell, MA, LPCC
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• Marcus R Salmen, M.D.
• Paul Albert Salmen, MD
• Miriam Salvidrez Gutierrez, RDH
• Emily Sanders, AUD
• Cassandra Santiago, BSN RN

• Foot Surgery Podiatrist in Glenwood Springs, CO
• Providers in Glenwood Springs, 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.