Family Footcare, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAMILY FOOTCARE, PC

Practice address

77 Main St N Ste 104
Southbury, CT 06488-2200

Phone

(203) 405-6501

Fax

(203) 405-6504

NPI assigned

Dec 17, 2012

Last updated

Sep 14, 2022By 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. James M Dejesus, DPMNPI 1083727556

Title

President

Phone

(203) 723-7884

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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.

• James M Dejesus, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naugatuck, CT
  • NPI 1083727556
  NPD Authorized official
• Betty M Carreira, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naugatuck, CT
  • NPI 1922308741
  NPD
• Austin Philip Davidow, DPM

  • Primary Podiatric Medicine Podiatrist
  • Naugatuck, CT
  • NPI 1770163909
  NPD
• Michelle Lynn Dejesus, DPM

  • Primary Podiatric Medicine Podiatrist
  • Naugatuck, CT
  • NPI 1033851886
  NPD

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1841536083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 NEW HAVEN RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067705033",
            "telephone_number": "203-723-7884",
            "fax_number": "203-723-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST N STE 104",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882200",
            "telephone_number": "203-405-6501",
            "fax_number": "203-405-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-723-7884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004094554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Evelyn
• Evergreen Prosthodontic Associates, LLC (Southbury Smiles)
• Every Body's Nutrition and Wellness
• Elixir Jon Gabriel Pelegrin Fajardo, PT, DPT, RAC-CT
• Sean Falzarano, RN
• Family Strong ABA LLC
• Family Strong CT
• Victoria Fanelli, MS
• Marie C Faynor, DDS
• Rachel Felcher

• Durable Medical Equipment & Medical Supplies in Southbury, CT
• Providers in Southbury, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.