Organization Active NPI

Foot Soul Foot & Ankle, PLLC

  • Podiatrist
  • Bryant, AR
National Provider Identifier
1053091983
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT SOUL FOOT & ANKLE, PLLC
Practice address
3395 Hwy 5 N Ste 200
Bryant, AR 72019-9031
Phone
(501) 746-0600
Fax
(501) 764-4060
NPI assigned
Jul 25, 2023
Organization subpart
Yes
Parent organization
FOOT SOUL FOOT & ANKLE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Lauren Price, DPMNPI 1134681570
Title
Owner
Phone
(501) 746-0600

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3395 Hwy 5 N Ste 200
Bryant, AR 72019-9031

Mailing address

PO Box 275
Benton, AR 72018-0275
Phone (501) 746-0600

Other practice location 1

1000 Hwy 35 N Ste 8
Benton, AR 72019-2353
Phone (501) 501-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230831003025 AR Part B Supplier - Clinic/Group Practice 2163885591 Receives reassigned benefits from 1 practitioner
Practice locations: Benton, AR; Bryant, AR
O20240506001306 AR DME Supplier - Physician - Podiatry 2163885591 Practice locations: Bryant, AR

National Provider Directory

National Provider Directory
Part of
Foot Soul Foot Ankle PLLC

Locations

3395 Highway 5 N
Ste 200
Bryant, AR 72019
Phone (501) 746-0600

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": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1053091983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720180275",
            "telephone_number": "501-746-0600",
            "fax_number": "501-764-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 HWY 5 N STE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199031",
            "telephone_number": "501-746-0600",
            "fax_number": "501-764-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hwy 35 N Ste 8",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720192353",
            "country_code": "US",
            "telephone_number": "501-501-7460",
            "fax_number": "501-764-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT SOUL FOOT & ANKLE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT SOUL FOOT & ANKLE, PLLC",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-746-0600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.