JAMES PETTET DPM PC INC NPI 1053409409

NPI Information

NPI: 1053409409
Provider Name: JAMES PETTET DPM PC INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
151 W MINERAL AVE STE 110
LITTLETON, CO
ZIP 80120
Phone: (303) 730-2955
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JAMES PETTET DPM PC INC is a foot and ankle surgery podiatrist in Littleton, CO. JAMES PETTET DPM PC INC NPI is 1053409409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 W MINERAL AVE STE 110
LITTLETON, CO
ZIP 80120-510
Phone: (303) 730-2955
Fax: (303) 798-7037

The provider's authorized official is James Pettet .
The authorized official title is Owner and has the following contact phone number (303) 730-2955.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 1/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	450	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DN2228	OTHER	COLORADO	RAILROAD MEDICARE GROUP PTAN
2	CA1803	MEDICARE PIN	COLORADO
3	U19783	MEDICARE UPIN	COLORADO
4	01004506	MEDICAID	COLORADO
5	1023580001	MEDICARE NSC	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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