NPIMap

Organization Active NPI

Table Mountain Foot and Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CO
National Provider Identifier
1982076832
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
544 Issued in CO
Legal business name
TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC
Practice address
255 Union Blvd
Suite 310
Lakewood, CO 80228-1810
Phone
(303) 985-1212
NPI assigned
Oct 30, 2015
Organization subpart
Yes
Parent organization
TABLE MOUNTAIN FOOT AND ANKLE CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Anthony Valenti III, DPM
Title
President
Phone
(303) 422-6043

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 547 CO
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 544 CO Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 324 CO

Addresses

Primary practice location

255 Union Blvd
Suite 310
Lakewood, CO 80228-1810

Mailing address

3555 Lutheran Pkwy
Suite 150
Wheat Ridge, CO 80033-6021

National Provider Directory

National Provider Directory
Tax ID family
Table Mountain Foot Ankle2 organizations share this tax ID, including this one
Part of
Table Mountain Foot Ankle

Other organizations with this tax ID 1

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFJBA

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1982076832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 150",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD",
            "address_2": "SUITE 310",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281810",
            "telephone_number": "303-985-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "VALENTI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-422-6043",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "547",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "544",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.