Boulder Foot & Ankle Center, LTD.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

9807 Issued in NV

Legal business name

BOULDER FOOT & ANKLE CENTER, LTD.

Practice address

3150 N Tenaya Way Ste 215
Las Vegas, NV 89128-0444

Phone

(702) 586-4600

Fax

(866) 409-1683

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wesley W Lyon, DPMNPI 1538145693

Title

Owner

Phone

(702) 397-2207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Wesley Warren Lyon, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
  • NPI 1538145693
  NPD Authorized official

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1992085682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "OVERTON",
            "state": "NV",
            "postal_code": "890401344",
            "telephone_number": "702-586-4600",
            "fax_number": "866-409-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280444",
            "telephone_number": "702-586-4600",
            "fax_number": "866-409-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER FOOT & ANKLE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-397-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaritte Allysen Bascon Bouffard
• Mathew Bouffard
• Bernadine Bouknight
• Boulder Crossings Dental Partners PLLC
• Boulder Dental Group, LLC
• Boulder Primary & Urgent Care LLC
• Hailey Roberts Bouldin, MEDICAL STUDENT
• Russell Kevin Bouldin, R.P.T
• Crowless Boules
• Magdelin Boules

• Primary Podiatric Medicine Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Podiatric Medicine Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.