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FAMILY FOOT & ANKLE
NPI 1083144406
Clinic/Center - Podiatric in Tooele, UT

Active since June 18, 2017
491 N MAIN ST, TOOELE, UT 84074(515) 205-5635 Get Directions Write a Review

NPPES record last updated: June 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Podiatric

About FAMILY FOOT & ANKLE

This page provides the complete NPI Profile along with additional information for Family Foot & Ankle, a provider established in Tooele, Utah operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1083144406 assigned on June 2017. The practitioner's primary taxonomy code is 261QP1100X with license number 7054576-0501 (UT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jeffrey Lynn Carlson Dpm (Podiatrist)

NPI
1083144406 Verify this NPI
Provider Name
FAMILY FOOT & ANKLE
Entity Type
Organization
Location Address
491 N MAIN ST TOOELE, UT 84074
Location Phone
(515) 205-5635
Mailing Address
1332 E 630 S TOOELE, UT 84074
Mailing Phone
(515) 205-5635
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-18-2017
Last Update Date
06-18-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities
License No.
7054576-0501
License State
UT

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY LYNN CARLSON DPM

Authorized Official Title
PODIATRIST
Authorized Official Phone
(515) 205-5635

Reviews for FAMILY FOOT & ANKLE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MR. BRAND PAXTON REYNOLDS FNP-C
Nurse Practitioner
491 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-8881

Frequently Asked Questions

What is FAMILY FOOT & ANKLE's NPI number?

The NPI number assigned to this healthcare provider is 1083144406, enumerated as an "organization" on June 18, 2017.

Where is the provider located?

The provider is located at 491 N MAIN ST TOOELE, UT 84074 and the phone number is (515) 205-5635.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.