Individual provider Active NPI

Frederic Zachary Oddone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1881326981
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
14203649-0501 Issued in UT
Practice address
1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383
Phone
(801) 269-9939
Fax
(801) 405-7695
NPI assigned
Jun 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 14203649-0501 UT Primary

Addresses

Primary practice location

1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383

Mailing address

1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383
Phone (801) 269-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001699 UT Practitioner - Podiatry 7719401710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

1001 N 500
Provo, UT 84604-3305
Phone (877) 674-1211

1220 E 3900
Suite 4D
Salt Lake City, UT 84124-1383
Phone (801) 619-2168

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue689
Removal or shaving of skin growth297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14203649-0501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park City Podiatry LLC Foot & Ankle Surgery CurrentSince May 25, 2025 Accepting new patients
Aria Podiatry Care PLLC CurrentSince Sep 2, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

1001 N 500 W
Provo, UT 84604
Phone (505) 320-9952

1220 E 3900 S
Ste 4D
Salt Lake Cty, UT 84124
Phone (801) 269-9939

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1881326981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241383",
            "telephone_number": "801-269-9939",
            "fax_number": "801-405-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241383",
            "telephone_number": "801-269-9939",
            "fax_number": "801-405-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDONE",
        "first_name": "FREDERIC",
        "middle_name": "ZACHARY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "14203649-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.