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NATIONAL CAPITAL FOOT & ANKLE
Complete NPI Record 1235156951
Podiatrist in Potomac, MD

NPI Status: Active since July 17, 2006

Contact Information

12400 PARK POTOMAC AVE # R2
POTOMAC, MD
ZIP 20854
Phone: (301) 983-8202
Fax: (877) 810-5148

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Middle Name
  26. Authorized Official Title or Position
  27. Authorized Official Telephone Number
  28. Healthcare Provider Taxonomy Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Healthcare Provider Taxonomy Code 2
  31. Provider License Number 2
  32. Provider License Number State Code 2
  33. Healthcare Provider Primary Taxonomy Switch 2
  34. Is Organization Subpart
  35. Authorized Official Name Prefix Text
  36. Authorized Official Credential Text
  37. Healthcare Provider Taxonomy Group 2
  38. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1235156951. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1235156951
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The telephone number associated with the location address of the provider being identified.
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Other Organization Name: NATIONAL CAPITAL FOOT & ANKLE
The date that a record was last updated or changed.
Provider Other Organization Name Type Code: 3
The code designating the provider’s gender if the provider is a person.
Provider First Line Business Mailing Address: 12400 PARK POTOMAC AVE STE R2
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address City Name: POTOMAC
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address State Name: MD
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Mailing Address Postal Code: 208547024
Provider Business Mailing Address Country Code If outside U S : US
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Mailing Address Telephone Number: 3019838202
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 8778105148
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 12400 PARK POTOMAC AVE # R2
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: POTOMAC
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MD
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 208546973
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3019838202
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8778105148
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 7/17/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/21/2023
The date that a record was last updated or changed.
Authorized Official Last Name: POLUN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: FRANKLIN
The first name of the authorized official.
Authorized Official Middle Name: R
The middle name of the authorized official.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 3019838201
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 261QP1100X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 213E00000X
Provider License Number 2: PO428
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: DC
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: DPM
Healthcare Provider Taxonomy Group 2: 193400000X SINGLE SPECIALTY GROUP
NPI Certification Date: 4/21/2023