Front Range Foot and Ankle Clinic LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

650 Issued in CO

Legal business name

FRONT RANGE FOOT AND ANKLE CLINIC LLC

Practice address

10259 South Parker Rd
Suite 200a
Parker, CO 80134

Phone

(720) 670-0544

Fax

(720) 253-0794

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Mallett, DPMNPI 1841262698

Title

Owner

Phone

(720) 670-0544

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Paul Mallett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parker, CO
  • NPI 1841262698
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1912283045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10259 SOUTH PARKER RD",
            "address_2": "SUITE 200A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-670-0544",
            "fax_number": "720-253-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10259 SOUTH PARKER RD",
            "address_2": "SUITE 200A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-670-0544",
            "fax_number": "720-253-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-670-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PTAN",
            "identifier": "6910950001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alea Donna Fretterd, PHARMD
• Carson Joel Friscic I
• Katie Lynn Frison, FNP
• From the Ashes Counseling
• Front Range Family Smiles, PLLC
• Front Range Neuromonitoring, Inc
• Front Range Smiles, PLLC
• Front Range Surgical Services, P.C.
• Front Range Therapies Parker PC
• Jody Fuhri, RDH

• Foot & Ankle Surgery Podiatrist in Parker, CO
• Providers in Parker, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.