Organization Active NPI

Utoepia Foot and Ankle, PLLC

  • Podiatrist
  • Memphis, TN
National Provider Identifier
1962111633
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
UTOEPIA FOOT AND ANKLE, PLLC
Practice address
452 Perkins Ext
Memphis, TN 38117-3808
Phone
(901) 730-8300
Fax
(901) 730-8111
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Christian C Smith, DPMNPI 1134125511
Title
Owner
Phone
(901) 730-8300

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

452 Perkins Ext
Memphis, TN 38117-3808

Mailing address

452 Perkins Ext
Memphis, TN 38117-3808
Phone (901) 730-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230307001964 TN Part B Supplier - Clinic/Group Practice 0547630444 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN
O20230825003231 TN DME Supplier - Physician - Podiatry 0547630444 Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1962111633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 PERKINS EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173808",
            "telephone_number": "901-730-8300",
            "fax_number": "901-730-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 PERKINS EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173808",
            "telephone_number": "901-730-8300",
            "fax_number": "901-730-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOEPIA FOOT AND ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-730-8300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.