Midwest Foot & Ankle Specialists, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MIDWEST FOOT & ANKLE SPECIALISTS, LLC

Doing business as

Burnsville Foot Clinic

Practice address

12940 Harriet Ave S Ste 210
Burnsville, MN 55337-2680

Phone

(952) 890-4061

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

William Nichols, DPM

Title

Owner

Phone

(952) 890-4061

Specialties & licenses 1

Addresses

Other names 1

• Burnsville Foot Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• On-Site Podiatry, Inc

  • Foot & Ankle Surgery Podiatrist
  • Edina, MN
  • NPI 1538506969

  Member Of

  NPD member

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1093873838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S STE 210",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-890-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S STE 210",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-890-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-890-4061",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnsville Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Henrickson DDS
• Michael R Henrickson DDS, PLLC
• Jenna Michel
• Julia C Michels, DVM
• Lauren Elizabeth Micolichek, MA BCABA
• Jessica Mikacevich, PT
• Tamika R Miles
• Kathleen Millea
• Benjamin Edward Miller, PA-C
• Cassidy Lyn Miller

• Podiatrist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.