NPIMap

Organization Active NPI

Beech Tree Podiatry, P.C.

  • Foot & Ankle Surgery Podiatrist
  • York, PA
National Provider Identifier
1922067958
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BEECH TREE PODIATRY, P.C.
Practice address
1546 E Market St
York, PA 17403-1255
Phone
(717) 843-0896
Fax
(717) 854-6519
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mr. Fred Don Chantiles, DPM
Title
President
Phone
(717) 843-0896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1546 E Market St
York, PA 17403-1255

Mailing address

1546 E Market St
York, PA 17403-1255
Phone (717) 843-0896

Other identifiers 1

IdentifierTypeStateIssuer
0017405730001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1546 E Market St
York, PA 17403
Phone (717) 843-0896

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1922067958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031255",
            "telephone_number": "717-843-0896",
            "fax_number": "717-854-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031255",
            "telephone_number": "717-843-0896",
            "fax_number": "717-854-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH TREE PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "CHANTILES",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-843-0896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017405730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.