NPIMap

Organization Active NPI

Matt a. Heilala, DPM Inc.

  • Foot & Ankle Surgery Podiatrist
  • Wasilla, AK
National Provider Identifier
1922566652
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MATT A. HEILALA, DPM INC.
Practice address
3190 E Meridian Park Loop Ste 205
Wasilla, AK 99654-7422
Phone
(907) 569-3668
NPI assigned
Mar 12, 2019
Organization subpart
Yes
Parent organization
ALASKA FOOT & ANKLE SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Matt A Heilala, DPMNPI 1821135427
Title
Doctor of Podiatric Medicine/Owner
Phone
(907) 569-3668

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
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3190 E Meridian Park Loop Ste 205
Wasilla, AK 99654-7422

Mailing address

2250 E 42ND Ave Ste 200
Anchorage, AK 99508-5202
Phone (907) 569-3668

Other names 1

  • Alaska Foot & Ankle Specialists Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OrganizationAffiliation.period

National Provider Directory

National Provider Directory
Part of
Matt a Heilala DPM Inc

Locations

2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668

4100 Lake Otis Pkwy
Ste 308
Anchorage, AK 99508
Phone (907) 563-2663

950 E Bogard Rd
Ste 238
Wasilla, AK 99654
Phone (907) 357-1917

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21331/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1922566652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E 42ND AVE STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085202",
            "telephone_number": "907-569-3668",
            "fax_number": "907-569-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 205",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-569-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT A. HEILALA, DPM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALASKA FOOT & ANKLE SPECIALISTS",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "HEILALA",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE/OWNER",
        "authorized_official_telephone_number": "907-569-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OrganizationAffiliation.period",
            "affiliation": "N",
            "address_1": "3190 E Meridian Park Loop Ste 205",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alaska Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alaska Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.