Bellingham Foot Clinic Inc PS

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO60697482 Issued in WA

Legal business name

BELLINGHAM FOOT CLINIC INC PS

Practice address

520 Birchwood Ave Ste a
Bellingham, WA 98225-1700

Phone

(360) 734-3668

Fax

(360) 676-8941

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Nathan Larson, DPMNPI 1790030716

Title

Owner

Phone

(208) 305-1661

Specialties & licenses 1

Addresses

Other names 1

• Bellingham Foot & Ankle Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan L Larson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellingham, WA
  • NPI 1790030716
  Medicare reassignment Care Compare group NPD Authorized official
• Rizaldy Garcia

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
  • NPI 1376109215

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1982703583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BIRCHWOOD AVE. STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251755",
            "telephone_number": "360-734-3668",
            "fax_number": "360-676-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BIRCHWOOD AVE STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251700",
            "telephone_number": "360-734-3668",
            "fax_number": "360-676-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM FOOT CLINIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-305-1661",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60697482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellingham Foot & Ankle Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bellingham Foot & Ankle Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Bellingham Family Eye Clinic PS
• Bellingham Family Medicine, PLLC
• Bellingham Family Nutrition PLLC
• Bellingham Foot Care Center, Inc
• Bellingham Healing Center
• Bellingham Healthcare LLC
• Bellingham Hearing Center, Inc.
• Bellingham Internal Medicine Associates, PC
• Bellingham Massage Works

• Podiatrist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.