NPIMap

Organization Active NPI

Ankle & Foot Care Clinic, PC

  • Foot & Ankle Surgery Podiatrist
  • Missoula, MT
National Provider Identifier
1063786077
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
88 Issued in MT
Legal business name
ANKLE & FOOT CARE CLINIC, PC
Practice address
2831 Fort Missoula Rd Ste 302
Missoula, MT 59804-7401
Phone
(406) 721-1171
Fax
(406) 721-0622
NPI assigned
Mar 8, 2012
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Flynn Sherick, DPM
Title
President
Phone
(406) 721-1171

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 88 MT
Customized Equipment (DME) 332BC3200X 88 MT
Prosthetic/Orthotic Supplier 335E00000X 88 MT
Foot & Ankle Surgery Podiatrist 213ES0103X 88 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 302
Missoula, MT 59804-7401

Mailing address

2831 Fort Missoula Rd Ste 302
Missoula, MT 59804-7401
Phone (406) 721-1171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1063786077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-721-1171",
            "fax_number": "406-721-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-721-1171",
            "fax_number": "406-721-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT CARE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SHERICK",
        "authorized_official_first_name": "FLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-721-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "88",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MT",
            "license": "88",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MT",
            "license": "88",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.