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Prescott Foot & Ankle Clinic PC

Foot & Ankle Surgery Podiatrist in Prescott, AZ · enumerated 2006 · authorized official Kent Peterson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407925738

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Registry record

Entity type Organization (Type 2)
Legal business name Prescott Foot & Ankle Clinic PC
Practice address 919 12th Place, Suite 10, Prescott, AZ, 86305
Phone (928) 776-0770
Fax (928) 776-8991
Enumeration date Nov 8, 2006
Last updated in NPPES Feb 8, 2008

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 0261AZ (AZ) Primary

Authorized official

Name Kent Peterson
Title Owner
Phone (928) 776-0770

Other identifiers

Identifier Type State Issuer
700634 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Prescott Foot & Ankle Clinic PC?
The NPI for Prescott Foot & Ankle Clinic PC is 1407925738, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Prescott Foot & Ankle Clinic PC?
NPPES lists Kent Peterson (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-08.