Foot and Ankle Clinic, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00505 Issued in IA

Legal business name

FOOT AND ANKLE CLINIC, PC

Practice address

315 N Washington St
Viborg, SD 57070-2002

Phone

(605) 326-5161

Fax

(605) 326-5734

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Kham Vay Ung, DPM

Title

President/Owner

Phone

(712) 255-0502

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1033415799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051246",
            "telephone_number": "712-255-0502",
            "fax_number": "712-258-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570702002",
            "telephone_number": "605-326-5161",
            "fax_number": "605-326-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "UNG",
        "authorized_official_first_name": "KHAM",
        "authorized_official_middle_name": "VAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "712-255-0502",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "123",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800454",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Queena Getskow, PHARMD
• Abby Lynn Halvorson, MA, SLP
• Bridget A Heier, COTA/L
• Dana Huether, DNP

• All providers in Viborg, SD
• Foot & Ankle Surgery Podiatrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.