OrganizationActive
Elite Foot & Ankle Clinic
NPI 1720428626 · Primary Podiatric Medicine Podiatrist · Thornton, CO
Provider details
- NPI number
- 1720428626
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Staci Bogin, Podiatrist/Owner(323) 481-7597
- License
- POD-698 (CO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3655 E 104th Ave
Suite B
Thornton, CO 80233-4469
Phone: (720) 328-2022
Fax: (720) 328-1224
Street-level locationGet directions
Mailing address
3879 E 120th Ave
Thornton, CO 80233-1658
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2013-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.