Active NPI
First Step Foot and Ankle
- Podiatric Clinic/Center
- Rolla, MO
National Provider Identifier
1093019713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 000803
- 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, 2011
- 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
- Christopher L Johnson, DPM
- Title
- Doctor of Podiatric Medicine
- Phone
- (573) 578-0939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154337202 | Other | MO | NPI |
| 305351900 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
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.