NPIMap

Organization Active NPI

West Valley Foot & Ankle Center

  • Podiatrist
  • Bountiful, UT
National Provider Identifier
1982809703
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
781028940501 Issued in UT
Legal business name
WEST VALLEY FOOT & ANKLE CENTER
Practice address
513 W 2600 S Ste 513
Bountiful, UT 84010-7717
Phone
(801) 292-9202
Fax
(801) 966-9839
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Craig Alan McManama, DPMNPI 1659430254
Title
President Doctor
Phone
(801) 966-3556

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: 193400000X SINGLE SPECIALTY GROUP 213E00000X 781028940501 UT Primary

Addresses

Primary practice location

513 W 2600 S Ste 513
Bountiful, UT 84010-7717

Mailing address

513 W 2600 S Ste 513
Bountiful, UT 84010-7717
Phone (801) 292-9202

Other identifiers 1

IdentifierTypeStateIssuer
529741769004MedicaidUT

Other names 1

  • Bountiful Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

513 W 2600 S
Ste 513
Bountiful, UT 84010
Phone (801) 292-9202

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1982809703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W 2600 S STE 513",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107717",
            "telephone_number": "801-292-9202",
            "fax_number": "801-966-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W 2600 S STE 513",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107717",
            "telephone_number": "801-292-9202",
            "fax_number": "801-966-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCMANAMA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT   DOCTOR",
        "authorized_official_telephone_number": "801-966-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "781028940501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529741769004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.