NPIMap

Organization Active NPI

& Foot Specialists of Puget Sound, PS

Doing business as Factoria Foot & Ankle Clinic

  • Podiatrist
  • Bellevue, WA
National Provider Identifier
1932507191
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
& FOOT SPECIALISTS OF PUGET SOUND, PS
Doing business as
Factoria Foot & Ankle Clinic
Practice address
4140 Factoria Blvd SE Suite 1B
Bellevue, WA 98006
Phone
(425) 644-2313
NPI assigned
Dec 19, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Charles R Chu, DPM
Title
Owner/Podiatrist
Phone
(425) 449-2471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X WA Primary

Addresses

Primary practice location

4140 Factoria Blvd SE Suite 1B
Bellevue, WA 98006

Mailing address

4140 Factoria Blvd SE Suite 1B
Bellevue, WA 98006
Phone (425) 644-2313

Other names 1

  • Factoria Foot & Ankle Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charles R Chu DPM PS12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1932507191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FACTORIA BLVD SE SUITE 1B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-644-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FACTORIA BLVD SE SUITE 1B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-644-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "& FOOT SPECIALISTS OF PUGET SOUND, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "425-449-2471",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Factoria Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.