Organization Active NPI

High Plaines Foot Specialist PA

  • Podiatrist
  • Dodge City, KS
National Provider Identifier
1063500809
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HIGH PLAINES FOOT SPECIALIST PA
Practice address
2200 Summerlon Circle
Suite B
Dodge City, KS 67801
Phone
(620) 227-6661
Fax
(620) 227-7655
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Layne A Dameron, DPM
Title
Owner/President
Phone
(620) 227-6661

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Summerlon Circle
Suite B
Dodge City, KS 67801

Mailing address

2200 Summerlon Circle
Suite B
Dodge City, KS 67801
Phone (620) 227-6661

Other identifiers 1

IdentifierTypeStateIssuer
DD5872OtherKSRAILROAD MEDICARE PROV. #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1063500809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIRCLE",
            "address_2": "SUITE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-6661",
            "fax_number": "620-227-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIRCLE",
            "address_2": "SUITE B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-227-6661",
            "fax_number": "620-227-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINES FOOT SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "620-227-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV. #",
            "identifier": "DD5872",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.