NPIMap

Organization Active NPI

Desert Foot & Ankle P C

  • Foot & Ankle Surgery Podiatrist
  • Fountain Hills, AZ
National Provider Identifier
1912735713
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DESERT FOOT & ANKLE P C
Practice address
13430 N Saguaro Blvd Ste 100&101
Fountain Hills, AZ 85268-3728
Phone
(480) 844-8218
Fax
(480) 844-9950
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DESERT FOOT & ANKLE P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Rcmo
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X
Foot & Ankle Surgery Podiatrist 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

13430 N Saguaro Blvd Ste 100&101
Fountain Hills, AZ 85268-3728

Mailing address

PO Box 32611
Belfast, ME 04915-0219
Phone (415) 645-4525

National Provider Directory

National Provider Directory
Tax ID family
Campbell Podiatric Cent4 organizations share this tax ID, including this one
Part of
Campbell Podiatric Cent

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1912735713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32611",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150219",
            "telephone_number": "415-645-4525",
            "fax_number": "510-399-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N SAGUARO BLVD STE 100&101",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683728",
            "telephone_number": "480-844-8218",
            "fax_number": "480-844-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FOOT & ANKLE P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FOOT & ANKLE P C",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "RCMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.