Dominion Foot & Ankle Consultants PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DOMINION FOOT & ANKLE CONSULTANTS PC

Practice address

3025 Hamaker CT
#340
Fairfax, VA 22031-2237

Phone

(703) 849-8400

Fax

(703) 849-8448

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

David L Pontell, DPM

Title

President

Phone

(703) 849-8400

Specialties & licenses 1

Addresses

Other names 1

• Woodburn Podiatry Center Former legal business name

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1922009703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT",
            "address_2": "#340",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312237",
            "telephone_number": "703-849-8400",
            "fax_number": "703-849-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT",
            "address_2": "#340",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312237",
            "telephone_number": "703-849-8400",
            "fax_number": "703-849-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION FOOT & ANKLE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PONTELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-849-8400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodburn Podiatry Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Dollins, BCBA
• Mark Christian Domanski, M.D.
• Domingo Suatengco, MD, PC
• Melanie Giselle Dominguez Felix
• Eduardo Jose Dominguez, SA-C
• Dominion Urological Consultants
• Theresa Donahoe, MS
• Eleni Donas-Mozingo, RBT
• Crystal Donelan, MD
• Jean Al Donet Mostacero, MD

• Foot & Ankle Surgery Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.