Active NPI
Cedar Valley Podiatry, PC
- Foot & Ankle Surgery Podiatrist
- Charles City, IA
National Provider Identifier
1003059841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00423
- Legal business name
- CEDAR VALLEY PODIATRY, PC
- Practice address
- 700 11TH St
Charles City, IA 50616-3406 - Phone
- (641) 228-5578
- NPI assigned
- Apr 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxanne M Masteller
- Title
- Office Manager
- Phone
- (319) 277-4508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00423 | IA | Primary |
Addresses
Primary practice location
700 11TH St
Charles City, IA 50616-3406
Mailing address
4508 Chadwick Rd
Cedar Falls, IA 50613-7958
Phone (319) 277-4508
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1003059841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 CHADWICK RD",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506137958",
"telephone_number": "319-277-4508",
"fax_number": "319-277-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 11TH ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506163406",
"telephone_number": "641-228-5578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR VALLEY PODIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "MASTELLER",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "319-277-4508"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "00423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.