Active NPI
Foot Care Center, PC
- Foot Surgery Podiatrist
- Fremont, NE
National Provider Identifier
1063741114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 226
- Legal business name
- FOOT CARE CENTER, PC
- Practice address
- 1540 North Bell Street
Fremont, NE 68025-3537 - Phone
- (402) 721-7171
- Fax
- (402) 721-7233
- NPI assigned
- Dec 21, 2009
- Last updated
- Apr 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles M Halverson, DPM
- Title
- Doctor of Podiatric Medicine
- Phone
- (402) 721-7171
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 226 | NE | Primary |
Addresses
Primary practice location
1540 North Bell Street
Fremont, NE 68025-3537
Mailing address
1540 North Bell Street
Fremont, NE 68025-3537
Phone (402) 721-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2454 32nd Ave
Columbus, NE 68601
Phone (402) 563-2639
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot Surgery Podiatrist
- Fremont, NE
- NPI 1821188558
-
- Dermatology Physician
- Lincoln, NE
- NPI 1417946484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775865600000",
"number": "1063741114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 NORTH BELL STREET",
"city": "FREMONT",
"state": "NE",
"postal_code": "680253537",
"telephone_number": "402-721-7171",
"fax_number": "402-721-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 NORTH BELL STREET",
"city": "FREMONT",
"state": "NE",
"postal_code": "680253537",
"telephone_number": "402-721-7171",
"fax_number": "402-721-7233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT CARE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-21",
"last_updated": "2026-04-11",
"certification_date": "2026-04-11",
"status": "A",
"authorized_official_last_name": "HALVERSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
"authorized_official_telephone_number": "402-721-7171",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NE",
"license": "226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.