Organization Active NPI

Twin Cities Foot and Ankle Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Golden Valley, MN
National Provider Identifier
1104094499
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TWIN CITIES FOOT AND ANKLE CLINIC PA
Practice address
5851 Duluth St
Suite 101
Golden Valley, MN 55422-3946
Phone
(763) 546-1718
Fax
(763) 546-1943
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Judith Sperling Hechter, DPM
Title
Owner
Phone
(763) 546-1718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PC302 MN
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5851 Duluth St
Suite 101
Golden Valley, MN 55422-3946

Mailing address

5851 Duluth St
Suite 101
Golden Valley, MN 55422-3946
Phone (763) 546-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000333 MN Part B Supplier - Clinic/Group Practice 7517020902 Receives reassigned benefits from 2 practitioners
Practice locations: Golden Valley, MN

National Provider Directory

National Provider Directory

Locations

5851 Duluth St
Ste 101
Minneapolis, MN 55422
Phone (612) 546-1718

5851 Duluth St
Minneapolis, MN 55422
Phone (612) 202-8703

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1104094499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223946",
            "telephone_number": "763-546-1718",
            "fax_number": "763-546-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223946",
            "telephone_number": "763-546-1718",
            "fax_number": "763-546-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES FOOT AND ANKLE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "HECHTER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "SPERLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-546-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "PC302",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.