Family Foot Care Clinic, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FAMILY FOOT CARE CLINIC, PC

Practice address

3200 F Avenue NW
Cedar Rapids, IA 52405

Phone

(319) 362-1947

Fax

(319) 297-7405

NPI assigned

May 15, 2018

Last updated

Dec 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin S Tanner, DPMNPI 1881683829

Title

Owner/President

Phone

(319) 362-1947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Locations

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.

• Kevin Scott Tanner, D.P.M.

  • Podiatrist
  • Cedar Rapids, IA
  • NPI 1881683829
  Medicare reassignment Care Compare group Authorized official
• Michael A Orosz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Rapids, IA
  • NPI 1053373076
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670112000000",
    "number": "1104316108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 F AVENUE NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-362-1947",
            "fax_number": "319-297-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 F AVENUE NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-362-1947",
            "fax_number": "319-297-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3359 Center Point Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025568",
            "country_code": "US",
            "telephone_number": "319-393-4343",
            "fax_number": "319-393-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "319-362-1947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Fagan, ARNP
• Faithful Care Transport, LLC
• Family Chiropractic Wellness Center, Inc.
• Family Dental Care Associates PLC
• Family Foot Care Center, PLC
• Family Medicine Specialists, P.C.
• Family Physicians of Cedar Rapids, P.C.
• Family Physicians of Cedar Rapids, P.C.
• Family Practice Center
• Family Psychology Associates, P.C.

• Podiatrist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.