Organization Active NPI

Foot Specialists of Alabama LLC

  • Foot & Ankle Surgery Podiatrist
  • Guntersville, AL
National Provider Identifier
1962136457
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT SPECIALISTS OF ALABAMA LLC
Practice address
7633 Al Highway 69
Guntersville, AL 35976-7137
Phone
(256) 571-8750
Fax
(256) 571-8767
NPI assigned
Jul 12, 2022
Organization subpart
Yes
Parent organization
FOOT SPECIALIST OF ALABAMA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Dustin John Grimmett, DPMNPI 1487098166
Title
Owner-DPM
Phone
(256) 571-8750

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

7633 Al Highway 69
Guntersville, AL 35976-7137

Mailing address

7633 Al Highway 69
Guntersville, AL 35976-7137
Phone (256) 571-8750

Other practice location 1

1601 Veterans Dr Unit 112
Scottsboro, AL 35769-3716
Phone (256) 571-8750

National Provider Directory

National Provider Directory
Part of
Foot Specialists of Alabama

Practitioners & affiliated clinicians

Practitioners 2

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1962136457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767137",
            "telephone_number": "256-571-8750",
            "fax_number": "256-571-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767137",
            "telephone_number": "256-571-8750",
            "fax_number": "256-571-8767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Veterans Dr Unit 112",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357693716",
            "country_code": "US",
            "telephone_number": "256-571-8750",
            "fax_number": "256-571-8767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT SPECIALIST OF ALABAMA, LLC",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "GRIMMETT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER-DPM",
        "authorized_official_telephone_number": "256-571-8750",
        "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": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.