NPIMap

Organization Active NPI

Montana Foot Clinic PC

  • Podiatrist
  • Billings, MT
National Provider Identifier
1093759748
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MONTANA FOOT CLINIC PC
Practice address
3419 Central Ave
Ste B
Billings, MT 59102-6647
Phone
(406) 245-0888
Fax
(406) 245-1322
NPI assigned
Jun 15, 2006
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Mathias H Fettig, DPMNPI 1124099585
Title
Owner
Phone
(406) 245-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

3419 Central Ave
Ste B
Billings, MT 59102-6647

Mailing address

3419 Central Ave
Ste B
Billings, MT 59102-6647
Phone (406) 245-0888

Other identifiers 3

IdentifierTypeStateIssuer
0390762MedicaidMT
DA5411OtherMTRAILROAD MEDICARE
94500OtherMTBLUE CROSS AND BLUE SHIEL

National Provider Directory

National Provider Directory

Locations

2520 17th St W
Ste 100
Billings, MT 59102
Phone (406) 245-0888

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1093759748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 CENTRAL AVE",
            "address_2": "STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026647",
            "telephone_number": "406-245-0888",
            "fax_number": "406-245-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 CENTRAL AVE",
            "address_2": "STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026647",
            "telephone_number": "406-245-0888",
            "fax_number": "406-245-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "FETTIG",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-245-0888",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390762",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5411",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "94500",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.