Organization Active NPI

Merrell Foot & Ankle PLLC

  • Podiatric Clinic/Center
  • Spearfish, SD
National Provider Identifier
1003597709
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
MERRELL FOOT & ANKLE PLLC
Practice address
1410 North Ave Ste 1
Spearfish, SD 57783-1574
Phone
(605) 722-3668
Fax
(605) 722-3669
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kale Jo Merrell, DPMNPI 1437647344
Title
Physician-Podiatrist
Phone
(605) 210-2562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1410 North Ave Ste 1
Spearfish, SD 57783-1574

Mailing address

1410 North Ave Ste 1
Spearfish, SD 57783-1574
Phone (605) 722-3668

Other names 1

  • A Step Ahead Foot & Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231129003479 SD Part B Supplier - Clinic/Group Practice 6709234867 Receives reassigned benefits from 1 practitioner
Practice locations: Spearfish, SD

National Provider Directory

National Provider Directory

Locations

1410 North Ave
Spearfish, SD 57783
Phone (605) 642-3990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1003597709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831574",
            "telephone_number": "605-722-3668",
            "fax_number": "605-722-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831574",
            "telephone_number": "605-722-3668",
            "fax_number": "605-722-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRELL FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "KALE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICIAN-PODIATRIST",
        "authorized_official_telephone_number": "605-210-2562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Step Ahead Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Step Ahead Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.