Provider Demographics
NPI:1922474030
Name:HAPPY FEET PODIATRY, P.C.
Entity Type:Organization
Organization Name:HAPPY FEET PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:720-552-6101
Mailing Address - Street 1:1351 FRONTIER ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-2434
Mailing Address - Country:US
Mailing Address - Phone:720-552-6101
Mailing Address - Fax:720-552-6102
Practice Address - Street 1:1351 FRONTIER ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2434
Practice Address - Country:US
Practice Address - Phone:720-552-6101
Practice Address - Fax:720-552-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPOD.0000718261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric