NPIMap

Organization Active NPI

Larson Foot Clinic, P.C.

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1053522888
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
157 Issued in NE
Legal business name
LARSON FOOT CLINIC, P.C.
Practice address
2821 S 87TH Ave
Omaha, NE 68124-3046
Phone
(402) 391-0960
Fax
(402) 391-1463
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Thomas Jennings Larson Jr., D.P.M.
Title
President, Podiatrist
Phone
(402) 391-0960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 157 NE Primary

Addresses

Primary practice location

2821 S 87TH Ave
Omaha, NE 68124-3046

Mailing address

2821 S 87TH Ave
Omaha, NE 68124-3046
Phone (402) 391-0960

National Provider Directory

National Provider Directory

Locations

4809 Redman Ave
Omaha, NE 68104
Phone (402) 455-5025

Practitioners & affiliated clinicians

Practitioners 4

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053522888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S 87TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243046",
            "telephone_number": "402-391-0960",
            "fax_number": "402-391-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S 87TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243046",
            "telephone_number": "402-391-0960",
            "fax_number": "402-391-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON FOOT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "PRESIDENT, PODIATRIST",
        "authorized_official_telephone_number": "402-391-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.