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PARADISE VALLEY FOOT & ANKLE PLLC
NPI 1710234422
Podiatrist in Phoenix, AZ

Active since August 13, 2012
4611 E SHEA BLVD STE 160, PHOENIX, AZ 85028(480) 705-9920(800) 530-9132 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Aug 25, 2016 (2 updates tracked since 2016).

About Paradise Valley Foot & Ankle Pllc NPPES

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

PARADISE VALLEY FOOT & ANKLE PLLC (NPI 1710234422) is a healthcare organization registered as a podiatrist in Phoenix, Arizona and active in the NPI registry since August 2012. The organization maintains a secondary practice location in Anthem and lists Kyle Vaughn, Dpm, as its authorized official.

NPPES Registry Identity

NPI1710234422
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePARADISE VALLEY FOOT & ANKLE PLLC
Location Address4611 E SHEA BLVD STE 160Phoenix, AZ 85028-4257
Mailing Address4611 E Shea Blvd Ste 160Phoenix, AZ 85028-4257 · (480) 705-9920 · Fax (800) 530-9132
Phone(480) 705-9920
Fax(800) 530-9132
Organization SubpartNo
Authorized OfficialKyle VaughnDpm · (480) 705-7300
Enumeration DateAugust 13, 2012
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1710234422 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 AZ · 726
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.
4611 E SHEA BLVD STE 160, Phoenix, AZ 85028
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Secondary Practice Location 1

Location 13624 W Anthem Way Ste C116Anthem, AZ 85086-0457 · Phone (480) 705-9920 · Fax (888) 872-0466

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

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 Paradise Valley Foot & Ankle PLLC's NPI number?

The NPI number for Paradise Valley Foot & Ankle PLLC is 1710234422. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Paradise Valley Foot & Ankle PLLC located?

Paradise Valley Foot & Ankle PLLC is located at 4611 E Shea Blvd Ste 160, Phoenix, AZ 85028. The listed phone number is (480) 705-9920.

What is Paradise Valley Foot & Ankle PLLC'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 Paradise Valley Foot & Ankle PLLC was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.