Individual provider Active NPI

Chet J Vahovius, D.P.M

  • Podiatrist
  • Enterprise, AL
National Provider Identifier
1902821895
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00227 Issued in AL
Practice address
805 E Lee St
Suite a
Enterprise, AL 36330-2093
Phone
(334) 393-5135
Fax
(334) 393-7261
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00227 AL Primary

Addresses

Primary practice location

805 E Lee St
Suite a
Enterprise, AL 36330-2093

Mailing address

805 E Lee St
Enterprise, AL 36330-2093
Phone (334) 393-5135

Other identifiers 2

IdentifierTypeStateIssuer
051097984OtherALBCBS
000097984MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00227ALMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Family Foot Care, LLC Past Accepting new patients
Chet J. Vahovius, DPM, PC Podiatrist PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1902821895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E LEE ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302093",
            "telephone_number": "334-393-5135",
            "fax_number": "334-393-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E LEE ST",
            "address_2": "SUITE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302093",
            "telephone_number": "334-393-5135",
            "fax_number": "334-393-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHOVIUS",
        "first_name": "CHET",
        "middle_name": "J",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "00227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051097984",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000097984",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.