1. Home
  2. Directory
  3. Arizona
  4. Prescott
  5. Podiatrist
  6. NPI Profile

PRESCOTT FOOT & ANKLE CLINIC PC
NPI 1407925738
Podiatrist - Foot & Ankle Surgery in Prescott, AZ

Active since November 08, 2006
919 12TH PLACE, SUITE 10, PRESCOTT, AZ 86305(928) 776-0770(928) 776-8991 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prescott Foot & Ankle Clinic Pc NPPES

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

PRESCOTT FOOT & ANKLE CLINIC PC (NPI 1407925738) is a healthcare organization registered as a foot & ankle surgery in Prescott, Arizona and active in the NPI registry since November 2006. The organization lists Kent L Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407925738
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRESCOTT FOOT & ANKLE CLINIC PC
Location Address919 12TH PLACE, SUITE 10Prescott, AZ 86305-1433
Mailing Address919 12th Place, Suite 10Prescott, AZ 86305-1433 · (928) 776-0770 · Fax (928) 776-8991
Phone(928) 776-0770
Fax(928) 776-8991
Organization SubpartNo
Authorized OfficialKent L PetersonOwner · (928) 776-0770
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1407925738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in AZ · 0261AZ
919 12TH PLACE, Prescott, AZ 86305
Open in Google Maps ↗

Other Identifiers 5

Medicaid700634AZ
Medicare UPINT42032AZ
Medicare ID-Type UnspecifiedZ69928Personal Prov
Medicare NSC0833580001AZ
Medicare ID-Type UnspecifiedZ69927Grp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

JOSEPH B STEWART EDD
Psychologist (Forensic)
919 12TH PLACE, SUITE 13
PRESCOTT, AZ 86305
Yavapai County (928) 778-2180

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 Prescott Foot & Ankle Clinic PC's NPI number?

The NPI number for Prescott Foot & Ankle Clinic PC is 1407925738. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Prescott Foot & Ankle Clinic PC located?

Prescott Foot & Ankle Clinic PC is located at 919 12th Place Suite 10, Prescott, AZ 86305. The listed phone number is (928) 776-0770.

What is Prescott Foot & Ankle Clinic PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Prescott Foot & Ankle Clinic PC was last updated on February 8, 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.