Central Arkansas Foot and Ankle Specialist

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CENTRAL ARKANSAS FOOT AND ANKLE SPECIALIST

Practice address

650 United Dr Ste 110
Conway, AR 72032-7000

Phone

(501) 483-0900

NPI assigned

Nov 29, 2023

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zane Moore, DPMNPI 1891109963

Title

Owner

Phone

(870) 219-5316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zane Moore, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Conway, AR
  • NPI 1891109963

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1952177107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 110",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327000",
            "telephone_number": "501-483-0900",
            "fax_number": "866-493-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNITED DR STE 110",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327000",
            "telephone_number": "501-483-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS FOOT AND ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ZANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-219-5316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Conway, AR
• Providers in Conway, AR by specialty
• Foot & Ankle Surgery Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.