NPIMap

Organization Active NPI

Oakton Foot and Ankle Center PLLC

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1992981492
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OAKTON FOOT AND ANKLE CENTER PLLC
Doing business as
Oakton Foot and Ankle Center PLLC
Practice address
10721 Main St Ste 3500
Fairfax, VA 22030-6909
Phone
(703) 352-8888
Fax
(703) 352-8994
NPI assigned
Jan 14, 2008
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Steven R Vetter, DPMNPI 1295702108
Title
Sole Proprietor
Phone
(703) 352-8888

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU
Durable Medical Equipment & Medical Supplies 332B00000X 0130000659 VA
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

10721 Main St Ste 3500
Fairfax, VA 22030-6909

Mailing address

10721 Main St
Suite 3500
Fairfax, VA 22030-6914
Phone (703) 352-8888

Other names 1

  • OAKTON FOOT AND ANKLE CENTER PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000166 DC Part B Supplier - Clinic/Group Practice 7911025044 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

10721 Main St
Ste 3500
Fairfax, VA 22030
Phone (703) 352-8888

Practitioners & affiliated clinicians

Practitioners 3

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1992981492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 3500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-352-8888",
            "fax_number": "703-352-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 3500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306909",
            "telephone_number": "703-352-8888",
            "fax_number": "703-352-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTON FOOT AND ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "703-352-8888",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0130000659",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKTON FOOT AND ANKLE CENTER PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.