Organization Active NPI

First Step Foot and Ankle

  • Podiatric Clinic/Center
  • Rolla, MO
National Provider Identifier
1093019713
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
000803 Issued in MO
Legal business name
FIRST STEP FOOT AND ANKLE
Practice address
806 Hwy 72 E
Rolla, MO 65401
Phone
(573) 578-0939
Fax
(573) 426-6051
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Christopher L Johnson, DPM
Title
Doctor of Podiatric Medicine
Phone
(573) 578-0939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 000803 MO Primary

Addresses

Primary practice location

806 Hwy 72 E
Rolla, MO 65401

Mailing address

11568 Pine Forest Dr
Rolla, MO 65401-5427
Phone (573) 578-0939

Other identifiers 2

IdentifierTypeStateIssuer
1154337202OtherMONPI
305351900MedicaidMO

National Provider Directory

National Provider Directory

Locations

806 E State Highway 72
Rolla, MO 65401
Phone (573) 578-0939

806 E State Highway 72
#A
Rolla, MO 65401
Phone (573) 578-0939

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1093019713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11568 PINE FOREST DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654015427",
            "telephone_number": "573-578-0939",
            "fax_number": "573-426-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HWY 72 E",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-578-0939",
            "fax_number": "573-426-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "573-578-0939",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MO",
            "license": "000803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154337202",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305351900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.