NPI 1710005491 · live from the CMS NPI Registry
Capitol Foot & Ankle, LLC
Podiatrist, Foot & Ankle Surgery in Alexandria, VA. National Provider Identifier 1710005491, active.
NPI record
| NPI | 1710005491 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5256 Dawes Ave, Alexandria, VA 22311 |
| Practice phone | 703-578-3899 |
| Mailing address | 5256 Dawes Ave., Alexandria, VA 22311 |
| Enumerated | March 27, 2007 |
| Last updated | December 21, 2007 |
| Authorized official | Melissa Smith, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103300905 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.