NPIMap

Organization Active NPI

Direct Foot Clinic LLC

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1972043057
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DIRECT FOOT CLINIC LLC
Practice address
5535 Memorial Hwy
Tampa, FL 33634-7332
Phone
(813) 574-4869
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Bita Ansari, DPMNPI 1962451450
Title
Manager
Phone
(813) 541-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

5535 Memorial Hwy
Tampa, FL 33634-7332

Mailing address

121 Hickory Creek Dr
Brandon, FL 33511-8059
Phone (813) 541-8734

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1972043057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HICKORY CREEK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118059",
            "telephone_number": "813-541-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347332",
            "telephone_number": "813-574-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT FOOT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-541-8734",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.