Organization Active NPI

Happy Feet Podiatry, P.C.

  • Podiatric Clinic/Center
  • Longmont, CO
National Provider Identifier
1922474030
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
POD.0000718 Issued in CO
Legal business name
HAPPY FEET PODIATRY, P.C.
Practice address
1351 Frontier St
Longmont, CO 80501-2434
Phone
(720) 552-6101
Fax
(720) 552-6102
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dr. Caleb Roy Baker, D.P.M.NPI 1609190032
Title
Podiatrist
Phone
(720) 552-6101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X POD.0000718 CO Primary

Addresses

Primary practice location

1351 Frontier St
Longmont, CO 80501-2434

Mailing address

1351 Frontier St
Longmont, CO 80501-2434
Phone (720) 552-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20151023000185 CO Part B Supplier - Clinic/Group Practice 9931418498 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO
O20160217000426 CO DME Supplier - Physician - Podiatry 9931418498 Practice locations: Longmont, CO
O20160920001147 WY Part B Supplier - Clinic/Group Practice 9931418498 Receives reassigned benefits from 1 practitioner
Practice locations: Laramie, WY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1055 17th Ave
Ste 201
Longmont, CO 80501
Phone (303) 772-0317

204 McCullum Dr
Ste 201
Laramie, WY 82070
Phone (307) 721-0022

Practitioners & affiliated clinicians

Practitioners 1

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1922474030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FRONTIER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012434",
            "telephone_number": "720-552-6101",
            "fax_number": "720-552-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FRONTIER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012434",
            "telephone_number": "720-552-6101",
            "fax_number": "720-552-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY FEET PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "720-552-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CO",
            "license": "POD.0000718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.