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LAS VEGAS FOOT SPECIALIST, INC
NPI 1184632929
Podiatrist in Las Vegas, NM

Active since August 04, 2006
109 RAILROAD AVE, LAS VEGAS, NM 87701(505) 425-9491(505) 454-8171 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Las Vegas Foot Specialist, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS FOOT SPECIALIST, INC (NPI 1184632929) is a healthcare organization registered as a podiatrist in Las Vegas, New Mexico and active in the NPI registry since August 2006. The organization lists Bruce A Andersen, President, as its authorized official.

NPPES Registry Identity

NPI1184632929
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLAS VEGAS FOOT SPECIALIST, INC
Location Address109 RAILROAD AVELas Vegas, NM 87701-3853
Mailing Address109 Railroad AveLas Vegas, NM 87701-3853 · (505) 425-9491 · Fax (505) 454-8171
Phone(505) 425-9491
Fax(505) 454-8171
Organization SubpartNo
Authorized OfficialBruce A AndersenPresident · (505) 425-9491
Enumeration DateAugust 4, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1184632929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NM · 163
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
109 RAILROAD AVE, Las Vegas, NM 87701
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Other Identifiers 5

Other5351NM · Bc/bs
Medicare UPINT41064
Other10478NM · Php
MedicaidQ2055NM
Medicare PIN200521026NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE A ANDERSEN DPM
Podiatrist
109 RAILROAD AVE
LAS VEGAS, NM 87701
San Miguel County (505) 425-9491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Las Vegas Foot Specialist, Inc's NPI number?

The NPI number for Las Vegas Foot Specialist, Inc is 1184632929. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Las Vegas Foot Specialist, Inc located?

Las Vegas Foot Specialist, Inc is located at 109 Railroad Ave, Las Vegas, NM 87701. The listed phone number is (505) 425-9491.

What is Las Vegas Foot Specialist, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Las Vegas Foot Specialist, Inc was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.