Active NPI
Craig J Ficks, D.P.M.
- Podiatrist
- Edina, MN
National Provider Identifier
1023082211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 383
- Practice address
- 7600 France Ave S Ste 1100
Edina, MN 55435-5924 - Phone
- (763) 545-7545
- Fax
- (952) 929-2067
- NPI assigned
- Feb 14, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 383 | MN | Primary |
Addresses
Primary practice location
7600 France Ave S Ste 1100
Edina, MN 55435-5924
Mailing address
7600 France Ave S Ste 1100
Edina, MN 55435-5924
Phone (763) 545-7545
Other practice location 1
7710 Brooklyn Blvd
Suite 201
Brooklyn Park, MN 55443-2966
Phone (763) 560-0345
Other practice location 2
7710 Brooklyn Blvd
Suite 201
Brooklyn Park, MN 55443-2966
Phone (763) 560-0345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683325000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maplewood Podiatry, LLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Maplewood, MN
- NPI 1023069259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023082211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 FRANCE AVE S STE 1100",
"city": "EDINA",
"state": "MN",
"postal_code": "554355924",
"telephone_number": "763-545-7545",
"fax_number": "952-929-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 FRANCE AVE S STE 1100",
"city": "EDINA",
"state": "MN",
"postal_code": "554355924",
"telephone_number": "763-545-7545",
"fax_number": "952-929-2067"
}
],
"practiceLocations": [
{
"address_1": "7710 Brooklyn Blvd",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Brooklyn Park",
"state": "MN",
"postal_code": "554432966",
"country_code": "US",
"telephone_number": "763-560-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7710 Brooklyn Blvd",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Brooklyn Park",
"state": "MN",
"postal_code": "554432966",
"country_code": "US",
"telephone_number": "763-560-0345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FICKS",
"first_name": "CRAIG",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683325000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
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- Mary M Figueroa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.